NPI | 1043988983 |
---|---|
Doing Business As | PREMIER FOOT & ANKLE CENTERS OF TENNESSEE |
Entity Type | Organization |
Authorized Contact | SUSAN FENTON Credentialing Manager 615-854-3409 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
213E00000X Podiatrist | |
Enumeration Date | 2021-09-04 |
Last Update Date | 2021-09-04 |