| NPI | 1639420755 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIAN D JEFFRESS Owner/President 757-537-8680 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Enumeration Date | 2012-09-28 |
| Last Update Date | 2012-09-28 |