| NPI | 1689868085 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK WILLIAM SHAFFER Owner/Physician 706-769-9200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: GA POD000585) |
| Enumeration Date | 2007-08-29 |
| Last Update Date | 2008-03-19 |