Individual provider · Type 1 NPI
Cristi Lee Bouldin, DPM
Foot & Ankle Surgery Podiatrist · Manchester, TN
NPI number
1649403080
Active
Practice location
108 N Spring St
Manchester, TN 37355-1563
Fax (931) 728-6530
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | SC006148 (PA) |
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | 727 (TN) |
Foot & Ankle Surgery Podiatrist: Definition to come...
3 other providers at this address
Other foot & ankle surgery podiatrist providers in Manchester
About NPI 1649403080
Cristi Lee Bouldin, DPM's National Provider Identifier is 1649403080, issued on Sep 2, 2009. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Manchester, TN. The record was last updated on Jul 26, 2012.