NPI | 1588858922 |
---|---|
Entity Type | Organization |
Authorized Contact | LATASHIA J WEBB Podiatrist/Owner 229-588-6843 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric (Licence: GA 2353013-NO) |
Enumeration Date | 2007-08-29 |
Last Update Date | 2010-12-27 |