NPI | 1174714505 |
---|---|
Entity Type | Organization |
Authorized Contact | JEFFREY D POOLE Owner 615-790-3323 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: TN 632) |
Enumeration Date | 2007-08-09 |
Last Update Date | 2024-05-09 |