institution
Maryville Foot Clinic Inc
Primary Podiatric Medicine Podiatrist in Maryville, Tennessee
NPI 1730101734

Maryville Foot Clinic Inc is a Primary Podiatric Medicine Podiatrist based in Maryville, TN and is specialized in Primary Podiatric Medicine. Maryville Foot Clinic Inc practices in Maryville, TN. The NPI Number for Maryville Foot Clinic Inc is 1730101734 and holds a License No. 564 (Tennessee).

The current practice location address for Maryville Foot Clinic Inc is 1515 E Lamar Alexander Pkwy, Maryville, TN and can be reached out via phone at 865-982-2119 and via fax at 865-984-5642.

Location: 1515 E Lamar Alexander Pkwy, Maryville, TN, 37804-5131
institution
Provider Profile Details
NPI Number
1730101734
Provider Name
Maryville Foot Clinic Inc
Credential
Provider Entity Type
Organization
Address
1515 E Lamar Alexander Pkwy, Maryville, TN, 37804-5131
Phone Number
865-982-2119
Fax Number
865-984-5642
Provider Enumeration Date
07/25/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
TN0101 01 TN JOHN DEERE
7404093 01 TN AETNA
3732878 05 TN
1231208 01 TN CIGNA
4118088 01 TN BCBS OF TN
BNA2743006 01 TN UNITED HEALTHCARE
institution
Provider Business Practice Location Address Details
Address
1515 E Lamar Alexander Pkwy
City
State
Zip
37804-5131
Phone Number
865-982-2119
Fax Number
865-984-5642
person
Provider Business Mailing Address Details
Address
1515 E Lamar Alexander Pkwy
City
State
Zip
37804-5131
Phone Number
865-982-2119
Fax Number
865-984-5642
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Primary Podiatric Medicine
Taxonomy
License No.
564 (Tennessee)
Definition
Definition to come...
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