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 |