| NPI | 1669509360 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT C WINGATE President 336-766-3338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2019-03-26 |