| NPI | 1275702086 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAYNE STEVEN DAVIS Owner 865-966-5775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: TN dpm170) |
| Enumeration Date | 2008-02-26 |
| Last Update Date | 2015-04-02 |