Oliver Foot Clinic, Inc.
NPI #1437297595 in Shelbyville, Tennessee
Provider Information
- NPI Number
- 1437297595
- Entity Type
- Organization
- Organization Name
- Oliver Foot Clinic, Inc.
- Primary Specialty
- Podiatrist - Foot Surgery
- Enumeration Date
- Feb 1, 2007
- Last Updated
- Dec 29, 2009
Practice Location
- Address
- 635 N. MAIN STREET
- Address 2
- SUITE A
- City
- Shelbyville
- State
- Tennessee
- ZIP Code
- 37160-3235
- Phone
- (931) 684-8884
Authorized Official
- Name
- DR. RUSSELL WADE OLIVER, DPM
- Title
- OWNER/PRESIDENT
- Phone
- (931) 684-8884
Specialties & Taxonomy Codes
| Specialty |
|---|
| Podiatrist - Foot Surgery — Foot Surgery |
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