GR VITO-BROOKDALE FOOT CLINIC

STATESVILLE, NC
NPI1750792867
Entity TypeOrganization
Authorized ContactGEORGE VITO
Sole Member
336-618-6961
Organization Subpart ?No
Primary Taxonomy213ES0103X Podiatrist, Foot & Ankle Surgery
(Licence: NC  330)
Enumeration Date2014-05-12
Last Update Date2014-05-12
Business Address
GR VITO-BROOKDALE FOOT CLINIC
533 BROOKDALE DR
STATESVILLE, NC 28677-4107
Phone number: 336-618-6961
Mailing Address
GR VITO-BROOKDALE FOOT CLINIC
PO BOX 24561
WINSTON SALEM, NC 27114-4561
Phone number: 336-618-6961