| NPI | 1790873503 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLARENCE STEWART Partner 919-231-7969 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Additional Taxonomies | 213E00000X Podiatrist |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2022-03-14 |