| NPI | 1992003479 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH D. GIOVINCO Managing Partner 678-561-9000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| 332900000X Non-Pharmacy Dispensing Site | |
| Enumeration Date | 2011-03-07 |
| Last Update Date | 2021-02-17 |