| NPI | 1740309590 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMAD R PARSA Owner 601-605-8770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: MS 80153) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2020-08-22 |