| NPI | 1962673236 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL CHRISTOPHER WEBB Podiatrist 865-774-2292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TN DPM624) |
| Enumeration Date | 2008-03-14 |
| Last Update Date | 2014-03-21 |