| NPI | 1457480683 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARL JOSEPH SICILIANO Owner Sole Member 901-381-2800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: TN DPM0000000422) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2008-06-05 |