NPI | 1407620529 |
---|---|
Doing Business As | PREMIER FOOT & ANKLE CENTERS OF TENNESSEE |
Entity Type | Organization |
Authorized Contact | SUSAN FENTON Credentialing Supervisor 615-854-3409 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2023-11-09 |
Last Update Date | 2023-11-09 |