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Organization
PIONEER FOOT AND ANKLE SPECIALISTS
Active
Organization
PIONEER FOOT AND ANKLE SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL KENT WILSON MD (OWNER)
(423) 854-0001
Entity
Organization
Contact information
Practice address
28 MIDWAY ST, BRISTOL, TN 37620-1706
(423) 854-0001
(423) 854-0002
Mailing address
926 WEST OAKLAND AVE STE 206, JOHNSON CITY, TN 37604-4100
(423) 854-0001
(423) 854-0002
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
DPM732
TN
Other
Enumeration date
12/31/2013
Last updated
12/31/2013
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