| NPI | 1720696834 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELDON PETERS Vice President 919-829-0076 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| 213ES0131X | |
| Enumeration Date | 2020-07-15 |
| Last Update Date | 2025-10-09 |