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Organization
CROCKETT FOOT AND ANKLE CLINIC, INC.
Active
Organization
CROCKETT FOOT AND ANKLE CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES L CHADBURN DPM (CEO)
(931) 766-3040
Entity
Organization
Contact information
Practice address
369 BRINK ST, LAWRENCEBURG, TN 38464-3243
(931) 766-3040
Mailing address
369 BRINK ST, LAWRENCEBURG, TN 38464-3243
(931) 766-3040
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
667
TN
Other
Enumeration date
05/08/2007
Last updated
02/12/2008
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