Organization Name: | FEET FIRST PODIATRY PC |
NPI Number: | 1053690958 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PAUL W HUTCHISON (PODIATRIST) |
Mailing Address: | 1415 E Reelfoot Ave Union City |
State: | TN US |
Postal Code: | 382615812 |
Phone Number: | 7318850220 |
Fax Number: | |
NPI Enumeration Date: | 08/09/2011 |
NPI Last Update Date: | 05/09/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | 494 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TN |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |