| NPI | 1891978318 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE DIANNE FISHER Office Manager 931-388-2190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: TN dpm288) |
| Enumeration Date | 2007-12-06 |
| Last Update Date | 2007-12-06 |