NPI | 1740615657 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES ALLEN SUDBERRY President 615-785-6890 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: TN 644) |
Enumeration Date | 2013-09-10 |
Last Update Date | 2013-09-10 |