| NPI | 1982929170 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN CHRISTOPHER ALLEN Chief Manager/Podiatrist 423-764-2299 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: VA 0103301011) |
| Enumeration Date | 2010-03-31 |
| Last Update Date | 2013-04-16 |