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Organization
TOD R BUSHMAN DPM PC
Active
Organization
TOD R BUSHMAN DPM PC
Active
Other names
Diabetic Foot Center
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER M MOON (OFFICE MANAGER)
(615) 885-4424
Entity
Organization
Contact information
Practice address
5653 FRIST BLVD STE 441, HERMITAGE, TN 37076-2062
(615) 885-4424
(615) 872-2707
Mailing address
5653 FRIST BLVD STE 441, HERMITAGE, TN 37076-2062
(615) 885-4424
(615) 872-2707
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
DPM471
TN
Other
Enumeration date
07/19/2007
Last updated
12/08/2009
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