| NPI | 1588858849 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOTTA WELLS Owner/Physician 870-725-6502 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: AR 241) |
| Enumeration Date | 2007-08-30 |
| Last Update Date | 2018-07-17 |