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Organization
EAST TENNESSEE FOOT CLINIC PC
Active
Organization
EAST TENNESSEE FOOT CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAUREL BURGER COOK DPM (PRESIDENT)
(865) 981-4595
Entity
Organization
Contact information
Practice address
603 SMITHVIEW DR, MARYVILLE, TN 37803-6100
(865) 981-4595
(865) 981-4544
Mailing address
603 SMITHVIEW DR, MARYVILLE, TN 37803-6100
(865) 981-4595
(865) 981-4544
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
641
TN
Other
Enumeration date
06/17/2006
Last updated
10/14/2010
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