| NPI | 1891935821 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT LLOYD VAN BREDERODE Owner 828-766-7667 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric (Licence: NC 479) |
| Enumeration Date | 2009-03-03 |
| Last Update Date | 2012-08-01 |