NPI | 1801064290 |
---|---|
Entity Type | Organization |
Authorized Contact | DENVER L. CARTER Owner/Dpm 601-849-0444 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0131X Podiatrist, Foot Surgery (Licence: MS 80174) |
Enumeration Date | 2008-02-19 |
Last Update Date | 2008-02-19 |