| NPI | 1922238047 |
|---|---|
| Other Name | FAMILY FOOT AND ANKLE CENTER |
| Entity Type | Organization |
| Authorized Contact | ROGER P. THEODORE Owner 478-741-1192 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: GA 000753) |
| Enumeration Date | 2009-07-23 |
| Last Update Date | 2009-07-23 |