| Organization Name: | PRECISION FOOT CARE CENTER, LLC |
| NPI Number: | 1114004611 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GREGG JOSEPH WILLIAMS (OWNER) |
| Mailing Address: | 4700 Wichers Dr Suite 204 Marrero |
| State: | LA US |
| Postal Code: | 700723041 |
| Phone Number: | 5043280777 |
| Fax Number: | 5043280314 |
| NPI Enumeration Date: | 11/01/2006 |
| NPI Last Update Date: | 02/04/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | PD256R |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |