Individual provider · Type 1 NPI

Rhennetta Bork, DPM

Foot & Ankle Surgery Podiatrist · Columbia, TN

NPI number 1568923944 Active

Practice location

1503 Hatcher Ln Ste 100
Columbia, TN 38401-4833

Fax (615) 332-0340

Mailing address

397 Wallace Rd Ste 411
Nashville, TN 37211-8028

Other practice locations

  • 397 Wallace Rd Ste 411, Nashville, TN 37211-8028 · (615) 332-0330

Specialties and licenses

TaxonomyCodeLicense
Foot Surgery Podiatrist 213ES0131X925 (TN)
Foot & Ankle Surgery Podiatrist Primary 213ES0103X925 (TN)

Foot & Ankle Surgery Podiatrist: Definition to come...

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About NPI 1568923944

Rhennetta Bork, DPM's National Provider Identifier is 1568923944, issued on Mar 27, 2019. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Columbia, TN. The record was last updated on Nov 23, 2022.