| NPI | 1689671273 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL WADE DIXON President CEO 770-422-0280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: GA GA000961) |
| Enumeration Date | 2005-06-28 |
| Last Update Date | 2014-01-14 |