| NPI | 1881904555 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARLENE JOY PICKETT CEO 423-698-2406 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2010-10-15 |
| Last Update Date | 2013-03-30 |