| NPI | 1891035705 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE SHIN President 404-825-8093 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: FL PO3564) |
| Enumeration Date | 2013-03-01 |
| Last Update Date | 2013-12-11 |