| NPI | 1962993147 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN ANDREW PETERY President 336-339-2007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: NC 409) |
| Enumeration Date | 2018-05-23 |
| Last Update Date | 2021-07-28 |