Comfort Foot Care LLC
Podiatrist, Foot & Ankle Surgery in Chattanooga, TN. Organization (NPI-2).
NPI number1023252012
StatusActive
Last updated in NPPESAug 18, 2010
Details
- NPI
- 1023252012
- Entity type
- Organization (NPI-2)
- Legal business name
- Comfort Foot Care LLC
- Organization subpart
- No
- Enumeration date
- Apr 22, 2009
- Last updated
- Aug 18, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 213ES0103X | Podiatrist, Foot & Ankle Surgery | DPM0000000690 | TN | Yes |
Practice location
6116 Shallowford RdSte 118
Chattanooga, TN 37421-7201
Phone 423-710-1224 · Fax 423-710-1228
Mailing address
6116 Shallowford RdSte 118
Chattanooga, TN 37421-7201
Phone 423-710-1224 · Fax 423-710-1228
Authorized official
Mario S Dickens
Owner
4237101224
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