| NPI | 1639307101 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY ALAN MERRELL Owner 615-848-1902 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: TN 484) |
| Enumeration Date | 2009-06-23 |
| Last Update Date | 2009-06-23 |