| NPI | 1114010386 |
|---|---|
| Doing Business As | DICKSON FOOT CLINIC |
| Entity Type | Organization |
| Authorized Contact | RAMGSH BABU PAVULURI Vice President 615-441-0002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2010-09-09 |