| NPI | 1942256490 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSIE M AKER Office Manager 276-228-2212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: VA 0103000769) |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2013-10-29 |