| NPI | 1639281678 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA C ROBERTS Office Manager 706-597-0102 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: GA 000713) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2023-03-07 |