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Organization
ADVANCED FOOT CARE CENTER, PC
Active
Organization
ADVANCED FOOT CARE CENTER, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID MICHAEL VELARDE DPM (OWNER)
(865) 523-1141
Entity
Organization
Contact information
Practice address
2824 MERCHANTS DR, KNOXVILLE, TN 37912-4905
(865) 521-6635
Mailing address
2824 MERCHANTS DR, KNOXVILLE, TN 37912-4905
(865) 523-1145
(865) 521-6635
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
631
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3726396
—
TN
01
—
4099765
BLUE CROSS BLUE SHIELD
TN
01
—
7644655
AETNA
TN
01
—
8893748
CIGNA
TN
01
—
P00182231
RAIL ROAD MEDICARE
TN
01
—
TN0102
UNITED HEALTHCARE
TN
Enumeration date
07/30/2006
Last updated
10/25/2012
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