NPI | 1922752005 |
---|---|
Doing Business As | THE PODIATRY CENTER PC |
Entity Type | Organization |
Authorized Contact | TARAMICHELLE CRAFT Credentialing Clerk 228-366-4335 |
Organization Subpart ? | No |
Primary Taxonomy | 213E00000X Podiatrist |
Additional Taxonomies | 261QP1100X Clinic/Center, Podiatric |
Enumeration Date | 2022-02-08 |
Last Update Date | 2022-11-18 |