| NPI | 1942659081 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANNIE WHITE Physician/Surgeon/Owner 844-985-3338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: LA DPM200069) |
| Enumeration Date | 2016-06-09 |
| Last Update Date | 2016-08-11 |