| NPI | 1972126936 |
|---|---|
| Doing Business As | LEXINGTON PODIATRY - NORTHEAST |
| Entity Type | Organization |
| Authorized Contact | TIFFANY AYERS Credentialing Manager 803-935-8292 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 213E00000X Podiatrist |
| Enumeration Date | 2020-05-26 |
| Last Update Date | 2020-05-27 |