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Organization
FOOT ESSENTIALS LLC
Active
Organization
FOOT ESSENTIALS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACHNA GUPTA DPM (OWNER)
(309) 826-3774
Entity
Organization
Contact information
Practice address
635 ALEXIAN WAY, SIGNAL MOUNTAIN, TN 37377-1958
(309) 826-3774
Mailing address
PO BOX 21489, CHATTANOOGA, TN 37424-0489
(309) 826-3774
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Enumeration date
01/17/2019
Last updated
01/30/2019
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