Organization
FOOTHEALS PROSTHETICS AND ORTHOTICS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CALVIN K HOYLE CP, BOCO, CPED (PROTHETIST, ORTHOTIST,, PEDORTHIST)
(423) 975-5462
Entity
Organization
Contact information
Practice address
2406 SUSANNAH ST, LOWER LEVEL, JOHNSON CITY, TN 37601-1725
(423) 975-5462
(423) 975-5463
Mailing address
2406 SUSANNAH ST, LOWER LEVEL, JOHNSON CITY, TN 37601-1725
(423) 975-5462
(423) 975-5463
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1455141
—
TN
01
—
4145147
BCBS OF TN
TN
Enumeration date
10/23/2006
Last updated
04/08/2008
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