| NPI | 1932393253 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD WAYNE NEWMAN President 770-483-2291 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: GA 000702) |
| Enumeration Date | 2007-08-29 |
| Last Update Date | 2008-04-20 |