Whalio Doctors

NPI 1003085515

Excelsior Podiatry Clinic PLLC

Organisation Foot & Ankle Surgery Podiatrist Somerville, TN

Practice location

Address
214 Lakeview Rd, Somerville, TN 38068-9737
Phone
(901) 516-4005
Fax
(901) 516-4023
Mailing address
PO Box 460, Oakland, TN 38060-0460

Authorised official

Name
John Bell
Title
Doctor
Phone
(901) 516-4005

Registered specialties

Foot & Ankle Surgery Podiatrist Primary
Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0103X Licence DPM0000000649 (TN)

Registry record

NPI
1003085515
Entity type
Organization
NPI issued
28 Feb 2008
Record last updated
13 Apr 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.