| NPI | 1669452611 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD P MISTRETTA CFO/Treasurer 770-232-9778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: GA 00742) |
| Enumeration Date | 2006-01-17 |
| Last Update Date | 2023-04-13 |