| NPI | 1831149723 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL S. MILLER Owner 770-386-1234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: GA POD000776) |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: GA POD000776) |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: GA 000776) | |
| 213E00000X Podiatrist (Licence: GA POD000776) | |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2013-12-18 |