| NPI | 1689058174 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANASTASIA THOMAS Physician/Owner 678-718-5835 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: GA POD001061) |
| Enumeration Date | 2015-07-14 |
| Last Update Date | 2015-07-22 |