| NPI | 1376713701 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD ALAN BREEDEN Owner 615-369-6500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric (Licence: TN 0570) |
| Enumeration Date | 2008-02-29 |
| Last Update Date | 2008-03-20 |