Organization
THE FOOT GROUP P C
Active
Organization
THE FOOT GROUP P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TARA L.F. BLASINGAME D.P.M. (PRESIDENT)
(256) 232-2009
Entity
Organization
Contact information
Practice address
205 N MALONE ST, ATHENS, AL 35611-1509
(256) 232-2009
(256) 774-8211
Mailing address
PO BOX 6487, HUNTSVILLE, AL 35813-0487
(256) 772-8566
(256) 774-8211
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
164
AL
261QP1100X
Podiatric Clinic/Center
—
—
Other
Enumeration date
06/18/2012
Last updated
04/19/2020
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