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
| Taxonomy | Code | License |
|---|---|---|
| Foot Surgery Podiatrist | 213ES0131X | 925 (TN) |
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | 925 (TN) |
Foot & Ankle Surgery Podiatrist: Definition to come...
Another provider at this address
Other foot & ankle surgery podiatrist providers in Columbia
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.