| NPI | 1821263245 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID E HAVERLY CEO 931-787-1170 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: TN DPM379) |
| Enumeration Date | 2008-04-26 |
| Last Update Date | 2015-04-27 |