Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Surgery, Foot & Ankle |
213ES0103X | 48 | Podiatry |
| NPI Number | 1265935977 |
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| LBN Legal business name | FAMILY PODIATRY CENTER PLLC | ||||
| Authorized official | TREVECCA SHAW - (PODIATRIST/OWNER) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 03/09/2018 | ||||
| Last updated | 07/19/2018 - About 8 years ago | ||||
| Identifiers |
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FAMILY PODIATRY CENTER PLLC
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