institution
Excelsior Podiatry Clinic Pllc
Foot & Ankle Surgery Podiatrist in Somerville, Tennessee
NPI 1003085515

Excelsior Podiatry Clinic Pllc is a Foot & Ankle Surgery Podiatrist based in Oakland, TN and is specialized in Foot & Ankle Surgery. Excelsior Podiatry Clinic Pllc practices in Somerville, TN. The NPI Number for Excelsior Podiatry Clinic Pllc is 1003085515 and holds a License No. DPM0000000649 (Tennessee).

The current practice location address for Excelsior Podiatry Clinic Pllc is 214 Lakeview Rd, Somerville, TN and can be reached out via phone at 901-516-4005 and via fax at 901-516-4023.

Location: 214 Lakeview Rd, Somerville, TN, 38060-0460
institution
Provider Profile Details
NPI Number
1003085515
Provider Name
Excelsior Podiatry Clinic Pllc
Credential
Provider Entity Type
Organization
Address
214 Lakeview Rd, Somerville, TN, 38060-0460
Phone Number
901-516-4005
Fax Number
901-516-4023
Provider Enumeration Date
02/28/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
33542121 05 TN
institution
Provider Business Practice Location Address Details
Address
214 Lakeview Rd
City
State
Zip
38068-9737
Phone Number
901-516-4005
Fax Number
901-516-4023
person
Provider Business Mailing Address Details
Address
214 Lakeview Rd
City
State
Zip
38068-9737
Phone Number
901-516-4005
Fax Number
901-516-4023
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
DPM0000000649 (Tennessee)
Definition
Definition to come...
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