| NPI | 1144393604 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN D RAINES Owner 731-885-0220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0131X Podiatrist, Foot Surgery (Licence: TN DPM0000000217) |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2008-10-24 |