| NPI | 1760670673 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE S HAVRILLA Owner 706-595-8787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: GA 000848) |
| Enumeration Date | 2007-10-05 |
| Last Update Date | 2013-02-06 |