# GINA MENDOZA DPM PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mendoza Podiatry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780738302
- **Authorized official:** DR. GINA MENDOZA D.P.M. (DPM)
- **Authorized official phone:** (615) 826-0941

## Contact information

- **Practice address:** 353 NEW SHACKLE ISLAND RD, SUITE 120B, HENDERSONVILLE, TN 37075-2379
- **Practice address phone:** (615) 826-0941
- **Practice address fax:** (615) 826-3512
- **Mailing address:** 353 NEW SHACKLE ISLAND RD, SUITE 120B, HENDERSONVILLE, TN 37075-2379
- **Mailing address phone:** (615) 826-0941
- **Mailing address fax:** (615) 826-3512

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 670 | TN | Yes |

## Other

- **Enumeration date:** 01/22/2007
- **Last updated:** 08/13/2009