| NPI | 1366507360 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARLENE JOY PICKETT Corporate Officer 423-698-2407 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: TN 663) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2010-10-14 |