NPI | 1912189218 |
---|---|
Entity Type | Organization |
Authorized Contact | THOMAS ANOTHONY BROSKY President 770-536-7008 |
Organization Subpart ? | No |
Primary Taxonomy | 213E00000X Podiatrist |
Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery |
213ES0131X Podiatrist, Foot Surgery | |
Enumeration Date | 2007-11-29 |
Last Update Date | 2011-10-31 |