| NPI | 1760133706 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLE LOUISE MALIN Owner/Podiatrist 931-901-0296 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Enumeration Date | 2022-01-11 |
| Last Update Date | 2023-12-14 |