Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Surgery, Foot & Ankle |
213ES0103X | 48 | Podiatry |
| NPI # | 1962136457 |
| LBN Legal business name | FOOT SPECIALISTS OF ALABAMA LLC |
| Authorized official | DUSTIN GRIMMETT - (OWNER-DPM) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | 07/12/2022 |
| Last updated | 09/29/2023 - About 3 years ago |
| Identifiers | n/a |
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FOOT SPECIALISTS OF ALABAMA LLC
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