| NPI | 1518094085 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TYRONE TEAKO DAVIS Physician 901-523-7698 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0131X Podiatrist, Foot Surgery (Licence: TN 652) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2010-08-18 |