| NPI | 1619525961 |
|---|---|
| Doing Business As | FOOT & ANKLE CENTER |
| Entity Type | Organization |
| Authorized Contact | SALLEE RANDOLPH Associate 423-232-1771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Enumeration Date | 2019-08-29 |
| Last Update Date | 2019-08-29 |