Organization · Type 2 NPI
Maryville Foot Clinic Inc
Primary Podiatric Medicine Podiatrist · Maryville, TN
NPI number
1730101734
Active
Practice location
1515 E Lamar Alexander Pkwy
Maryville, TN 37804-5131
Fax (865) 984-5642
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Podiatric Medicine Podiatrist Primary | 213EP1101X | 564 (TN) |
Primary Podiatric Medicine Podiatrist: Definition to come...
About NPI 1730101734
Maryville Foot Clinic Inc's National Provider Identifier is 1730101734, issued on Jul 25, 2006. The primary taxonomy on file is Primary Podiatric Medicine Podiatrist (213EP1101X), and the practice location is in Maryville, TN. The record was last updated on Apr 20, 2008.