Adult And Pediatric Foot Center, Llc in Memphis - Foot Surgery
Adult And Pediatric Foot Center, Llc - NPI 1407025935
Adult And Pediatric Foot Center, Llc is a Foot Surgery in Memphis, Tennessee. Adult And Pediatric Foot Center, Llc practices all healthcare services and medical treatments related to Foot Surgery. The NPI Number for Adult And Pediatric Foot Center, Llc is 1407025935. The last update date is 2015-10-21.
Adult And Pediatric Foot Center, Llc's current location address is 5362 Estate Office Dr, Memphis, Tennessee. You can contact this provider via phone number 9015370078 and fax number 9015370096. The mailing address for Adult And Pediatric Foot Center, Llc is 5362 Estate Office Dr, Memphis, Tennessee. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Adult And Pediatric Foot Center, Llc |
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Address | 5362 Estate Office Dr, Memphis, Tennessee |
Phone Number | 9015370078 |
Fax Number | 9015370096 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | OWNER |
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Authorized Official Name | Knowles Lavale Antonio |
Credentials | DPM |
Telephone Number | 9015370078 |
NPI Number Detail
NPI Number | 1407025935 |
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Provider Enumeration Date | 2008-02-28 |
Last Updated Date | 2015-10-21 |
Provider Mailing Address Detail
Address | 5362 Estate Office Dr |
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City | Memphis |
State | Tennessee (TN) |
Post Code | 381193635 |
Phone Number | 9015370078 |
Fax Number | 9015370096 |
Provider's Primary Taxonomy Detail
Speciality | Foot Surgery |
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Taxonomy | 213Es0131X |
Licence No | 4822210 |
Definition: A doctor of podiatric medicine who specializes in performing foot and ankle surgeries. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
3353516 | TN | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Adult And Pediatric Foot Center, Llc by the Centers for Medicare & Medicaid Services?
The Adult And Pediatric Foot Center, Llc has been issued the NPI (National Provider Identifier) 1407025935 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Adult And Pediatric Foot Center, Llc is physically located?
The Adult And Pediatric Foot Center, Llc is physically situated at the following address: 5362 Estate Office Dr, Memphis, TN, 381193635.
What is Adult And Pediatric Foot Center, Llc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Adult And Pediatric Foot Center, Llc's specialized field of practice is Foot Surgery, and the corresponding taxonomy code that categorizes this area of specialization is 213Es0131X.
When was the Adult And Pediatric Foot Center, Llc's 1407025935 issued?
The Adult And Pediatric Foot Center, Llc's 1407025935 was issued on 2008-02-28.
As of what date was the information regarding Adult And Pediatric Foot Center, Llc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Adult And Pediatric Foot Center, Llc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2015-10-21.