| NPI | 1023030988 |
|---|---|
| Other Name | CORP |
| Entity Type | Organization |
| Authorized Contact | DAVID E HAVERLY CEO Tennessee Podiatric Clinic Inc 865-531-8449 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist |
| Enumeration Date | 2006-07-23 |
| Last Update Date | 2020-08-22 |