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 |