| NPI | 1578672291 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILTON EARL PENN Podiatrist/Owner 615-243-7636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: TN DPM452) |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: TN DPM0000000452) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2018-06-21 |