| NPI | 1801069752 |
|---|---|
| Doing Business As | RUSSELLVILLE PODIATRY CENTER |
| Entity Type | Organization |
| Authorized Contact | JERRY JENKINS Sole Proprietor 256-331-3338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AL 221) |
| Enumeration Date | 2008-04-10 |
| Last Update Date | 2013-02-04 |