| NPI | 1659648350 |
|---|---|
| Doing Business As | WHITESBURG PODIATRY |
| Entity Type | Organization |
| Authorized Contact | MARK L MIDENBERG Owner 256-880-0222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: AL AL116) |
| Enumeration Date | 2011-11-23 |
| Last Update Date | 2011-11-23 |