| NPI | 1710225669 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE VITO Podiatrist 336-618-6961 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: NC 330) |
| Enumeration Date | 2013-01-28 |
| Last Update Date | 2013-06-12 |