| NPI | 1750792867 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE VITO Sole Member 336-618-6961 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NC 330) |
| Enumeration Date | 2014-05-12 |
| Last Update Date | 2014-05-12 |