| NPI | 1760870323 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERRY ALLYSON SMITH Member/Manager 910-777-9054 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0131X Podiatrist, Foot Surgery (Licence: NC 509) |
| Enumeration Date | 2015-01-06 |
| Last Update Date | 2015-01-06 |