| NPI | 1801956222 |
|---|---|
| Doing Business As | NORTHEAST FAMILY PODIATRY, PA |
| Entity Type | Organization |
| Authorized Contact | CRUDDIE L TORIAN Owner 803-462-7040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: SC 138) |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2015-04-27 |