| NPI | 1174795629 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN R GORANSON Owner 931-381-3020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: TN DPM-368) |
| Enumeration Date | 2008-03-25 |
| Last Update Date | 2008-03-25 |