| NPI | 1457757320 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL LANGFORD Office Manager 901-853-1574 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: TN 164) |
| Enumeration Date | 2014-11-05 |
| Last Update Date | 2014-11-05 |