| NPI | 1609207117 |
|---|---|
| Doing Business As | SWCA OF TN |
| Entity Type | Organization |
| Authorized Contact | CHRISTINA LYNN PIKE Delegated Offical 208-985-2260 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Enumeration Date | 2013-12-09 |
| Last Update Date | 2021-08-03 |