| NPI | 1689149601 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NRUP TOLAT Podiatrist 404-245-4969 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
| Additional Taxonomies | 213ES0103X Podiatrist Foot & Ankle Surgery |
| Enumeration Date | 2018-10-05 |
| Last Update Date | 2020-09-23 |