# PODIATRIC CLINICS OF NORTHEAST TN

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Foot & Ankle Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619525961
- **Authorized official:** SALLEE TAYLOR RANDOLPH (OWNER)
- **Authorized official phone:** (423) 213-9961

## Contact information

- **Practice address:** 1303 SUNSET DR STE 6, JOHNSON CITY, TN 37604-7905
- **Practice address phone:** (423) 232-1771
- **Practice address fax:** (423) 929-0328
- **Mailing address:** 206 PRINCETON RD STE 14, JOHNSON CITY, TN 37601-2025
- **Mailing address phone:** (423) 232-1771
- **Mailing address fax:** (423) 929-0328

## Taxonomy

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

## Other

- **Enumeration date:** 08/29/2019
- **Last updated:** 08/04/2026