Organization Name: | ROBERT T SPALDING JR DPM AREA PODIATRY CENTERS |
NPI Number: | 1467851956 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROBERT TUCKER SPALDING (PODIATRIST/OWNER) |
Mailing Address: | 1225 Taft Hwy Signal Mountain |
State: | TN US |
Postal Code: | 373773251 |
Phone Number: | 4237563668 |
Fax Number: | 4238861142 |
NPI Enumeration Date: | 08/20/2014 |
NPI Last Update Date: | 08/20/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213EP1101X |
License Number: | TN028 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Primary Podiatric Medicine |
Taxonomy Definition: |