| NPI | 1639336027 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY N WALKER Practice Administrator 910-343-8889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NC 230) |
| Additional Taxonomies | 213ES0131X Podiatrist, Foot Surgery (Licence: NC 449) |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2013-09-17 |