| NPI | 1194940650 |
|---|---|
| Doing Business As | FOOTHILLS PODIATRY PLLC |
| Entity Type | Organization |
| Authorized Contact | REGINALD BRENT HARBIN Owner 865-977-1316 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: TN DPM0000000559) |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: TN DPM559) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2009-07-29 |