| NPI | 1912638248 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID VANDIVER THORPE CEO 205-807-3009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2022-06-17 |
| Last Update Date | 2023-08-09 |