| NPI | 1740499664 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN ROSE SKELLY Podiatrist 912-489-3668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: GA POD000942) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2020-08-22 |