| NPI | 1063826808 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESS N JUDY President 615-920-7212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: LA DPM.200064) |
| Enumeration Date | 2014-06-19 |
| Last Update Date | 2014-06-19 |