Crockett Foot and Ankle Clinic, Inc.

NPI #1174736706 in Lawrenceburg, Tennessee

Provider Information

NPI Number: 1174736706
Entity Type: Organization
Organization Name: Crockett Foot and Ankle Clinic, Inc.
Primary Specialty: Podiatrist
Enumeration Date: May 8, 2007
Last Updated: Feb 12, 2008

Practice Location

Address: 369 BRINK ST
City: Lawrenceburg
State: Tennessee
ZIP Code: 38464-3243
Phone: (931) 766-3040

Authorized Official

Name: JAMES L CHADBURN, DPM
Title: CEO
Phone: (931) 766-3040

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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