| NPI | 1386291441 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID E SMITH Owner 931-245-1920 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 213E00000X Podiatrist |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 335E00000X Prosthetic/Orthotic Supplier | |
| Enumeration Date | 2019-08-23 |
| Last Update Date | 2019-08-23 |