| NPI | 1871929893 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONDRICK WILLIAMSON Medical Director 404-904-3773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: GA 000931) |
| Enumeration Date | 2013-09-23 |
| Last Update Date | 2013-09-23 |