| NPI | 1518147917 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD D KOENIG President 865-851-2926 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: TN 677) |
| Enumeration Date | 2007-11-14 |
| Last Update Date | 2007-11-15 |