| NPI | 1730169434 |
|---|---|
| Former Legal Business Name | GENTLE FOOT CARE PA |
| Entity Type | Organization |
| Authorized Contact | LEE MAI Office Manager 423-544-2238 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2024-08-20 |