| NPI | 1821546540 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXIS MCKEOWN Podiatrist 404-210-5620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: WA PO60295566) |
| Enumeration Date | 2016-09-12 |
| Last Update Date | 2016-09-12 |