| NPI | 1588918429 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELDON PETERS Vice President 919-829-0076 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: NC 443) |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NC 443) |
| 213ES0131X (Licence: NC 443) | |
| Enumeration Date | 2012-10-30 |
| Last Update Date | 2025-08-20 |