Organization · Type 2 NPI

Healthstar Physicians, P.c.

Foot & Ankle Surgery Podiatrist · La Follette, TN

NPI number 1649757238 Active

Practice location

2435 Jacksboro Pike Ste 3
La Follette, TN 37766-2912

Fax (423) 201-9559

Specialties and licenses

Taxonomy	Code	License
Foot & Ankle Surgery Podiatrist Primary	213ES0103X	DPM739 (TN)

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

Another provider at this address

Matthew D. Stimson, CPED, CPOA, CFOPedorthist La Follette, TN NPI 1942780580

NPI record

NPI: 1649757238
Entity type: Organization (Type 2)
Issued: Jul 26, 2018
Last updated: Sep 18, 2018
Status: Active
Subpart: Yes of Healthstar Physicians, P.c.

Other names

<unavail>
Faculty Physicians-Lafollette · other name
Faculty Physicians-Lafollette · other name

Authorized official

Odessa Brabson
CFO
(423) 581-5925

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1649757238

Healthstar Physicians, P.c.'s National Provider Identifier is 1649757238, issued on Jul 26, 2018. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in La Follette, TN. The record was last updated on Sep 18, 2018.