| NPI | 1699266759 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN KAESER Chief Operating Officer 912-844-4329 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: GA POD001059) |
| Enumeration Date | 2018-05-24 |
| Last Update Date | 2018-05-24 |