| NPI | 1730421454 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANTA L GRIFFIN Podiatrist 901-500-5103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric (Licence: AR 252) |
| Enumeration Date | 2013-03-20 |
| Last Update Date | 2014-06-20 |