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Organization
ADVANCED REGIONAL FOOT CLINIC PLLC
Active
Organization
ADVANCED REGIONAL FOOT CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BHEKUMUZI M KHUMALO DPM (SOLE MEMBER)
(731) 885-7834
Entity
Organization
Contact information
Practice address
1720 E REELFOOT AVE, SUITE 204, UNION CITY, TN 38261-6047
(731) 885-7834
Mailing address
1720 E REELFOOT AVE, SUITE 204, UNION CITY, TN 38261-6047
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
NULL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
10/25/2012
Last updated
10/25/2012
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