| NPI | 1790250710 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NRUP TOLAT Owner 404-245-4969 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Additional Taxonomies | 213EP1101X Podiatrist, Primary Podiatric Medicine |
| 213ES0000X Podiatrist, Sports Medicine | |
| Enumeration Date | 2018-10-05 |
| Last Update Date | 2020-09-23 |