NPI | 1821132424 |
---|---|
Entity Type | Organization |
Authorized Contact | GEORGE JOHN DEMETRI Doctor 910-483-3338 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NC 240) |
Enumeration Date | 2007-02-16 |
Last Update Date | 2011-03-22 |