NPI 1033109327

Paul Benjamin Schodowski, DPM

Practitioner Foot Surgery Podiatrist Kingsport, TN

Practice location

Address: 2004 American Way Suite 115, Kingsport, TN 37660-4673
Phone: (423) 246-8840
Fax: (423) 246-8559
Mailing address: 2004 American Way STE 115, Kingsport, TN 37660-4673

Registered specialties

Foot Surgery Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0131X Licence DPM0000000479 (TN)

Other Podiatrist providers in Tennessee →

Registry record

NPI: 1033109327
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 Oct 2005
Record last updated: 18 May 2012

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.