| NPI | 1922301746 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORA CRISTINE BIRCHETT Office Manager 615-889-2323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: TN 21300000X) |
| Enumeration Date | 2010-12-16 |
| Last Update Date | 2010-12-16 |