| NPI | 1841488947 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY GIRARD YOUNG Owner 910-763-9334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: NC 262) |
| Enumeration Date | 2007-10-15 |
| Last Update Date | 2008-05-14 |