| NPI | 1134209869 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARLENE JOY PICKETT Practice Administrator 423-698-2406 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: TN 663) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2009-03-10 |