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 |