| NPI | 1992977102 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN DAVID SMITH President 256-764-1806 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: AL #212) |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: AL #212) |
| Enumeration Date | 2008-03-27 |
| Last Update Date | 2024-05-08 |