| NPI | 1780871251 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | JAMES PALMER BRANCH Owner 770-921-8800 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric (Licence: GA POD000918) | 
| Enumeration Date | 2007-09-28 | 
| Last Update Date | 2007-09-28 |