| NPI | 1952400806 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT BRIAN OMALLEY President Owner 910-251-9880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0131X Podiatrist, Foot Surgery (Licence: NC 418) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2011-10-05 |