| NPI | 1770670416 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY ARLENE VIA-BOWERS President 912-285-0069 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: GA 000743) |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2010-12-03 |