| NPI | 1801939293 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHAN JOSEPH LAPOINTE Owner 706-232-3888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric (Licence: GA POD000831) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: GA POD000831) |
| 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: GA POD000831) | |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2021-02-01 |