| NPI | 1407025935 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTONIO LAVALE KNOWLES Owner 901-537-0078 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0131X Podiatrist, Foot Surgery (Licence: TN 4822210) |
| Enumeration Date | 2008-02-28 |
| Last Update Date | 2015-10-21 |