Organization Name: | TENNESSEE VALLEY FOOT AND ANKLE CENTER |
NPI Number: | 1174799431 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JONATHON LEE STRICKLER (PODIATRIST/OWNER) |
Mailing Address: | 102 Gross Crescent Cir Fort Oglethorpe |
State: | GA US |
Postal Code: | 307423600 |
Phone Number: | 7068580766 |
Fax Number: | |
NPI Enumeration Date: | 05/06/2008 |
NPI Last Update Date: | 05/06/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | 799 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |