| NPI | 1417140070 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY LOGAN GARDNER President 865-218-7474 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0131X Podiatrist, Foot Surgery (Licence: TN DPM409) |
| Enumeration Date | 2007-08-27 |
| Last Update Date | 2008-06-18 |