| NPI | 1730680455 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRITESH PATEL Authorized Person 336-262-1499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: FL PO3861) |
| Enumeration Date | 2018-02-27 |
| Last Update Date | 2018-02-27 |