| NPI | 1386836252 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN DOUGLAS JACKSON President 931-380-0353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0131X Podiatrist, Foot Surgery (Licence: TN 436) |
| Enumeration Date | 2007-08-15 |
| Last Update Date | 2008-02-06 |