| NPI | 1447450259 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER M MOON Office Manager 615-885-4424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: TN DPM471) |
| Enumeration Date | 2007-07-19 |
| Last Update Date | 2009-12-08 |