| NPI | 1023034576 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAGON J PERCER President 865-671-2760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric (Licence: TN DPM659) |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2009-08-27 |