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Organization
WOLF RIVER FAMILY FOOTCARE PLLC
Active
Organization
WOLF RIVER FAMILY FOOTCARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARL JOSEPH SICILIANO D.P.M. (OWNER SOLE MEMBER)
(901) 381-2800
Entity
Organization
Contact information
Practice address
7424 US HIGHWAY 64, SUITE 119, BARTLETT, TN 38133-3986
(901) 381-2800
(901) 381-2677
Mailing address
7424 US HIGHWAY 64, SUITE 119, BARTLETT, TN 38133-3986
(901) 381-2800
(901) 381-2677
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
DPM0000000422
TN
Other
Enumeration date
03/05/2007
Last updated
06/05/2008
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