# FOOT GROUP INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275702086
- **Authorized official:** WAYNE STEVEN DAVIS DPM (OWNER)
- **Authorized official phone:** (865) 966-5775

## Contact information

- **Practice address:** 10918 KINGSTON PIKE, KNOXVILLE, TN 37934-2931
- **Practice address phone:** (865) 966-5775
- **Practice address fax:** (865) 966-5743
- **Mailing address:** PO BOX 22429, KNOXVILLE, TN 37933-0429
- **Mailing address phone:** (865) 966-5775
- **Mailing address fax:** (865) 966-5743

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | DPM170 | TN | Yes |

## Other

- **Enumeration date:** 02/26/2008
- **Last updated:** 04/02/2015
