| NPI | 1871808782 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENT A VAN BELOIS President 910-483-8304 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric (Licence: NC 92) |
| Enumeration Date | 2010-08-16 |
| Last Update Date | 2012-07-06 |