| NPI | 1730660200 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANIE JESSUP EUBANKS Owner 704-674-9272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0131X Podiatrist, Foot Surgery (Licence: NC 494) |
| Enumeration Date | 2018-08-23 |
| Last Update Date | 2020-07-02 |