| NPI | 1942270657 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIADRA MICHELLE WRIGHT Podiatrist 912-882-3338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: GA POD000932) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: FL P02758) |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2009-11-19 |