| NPI | 1982650735 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD J MILLER President 704-334-8682 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2010-01-28 |