Organization
R BRENT HARBIN DPM PLLC
Active
Other names
Foothills Podiatry PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. REGINALD BRENT HARBIN DPM (OWNER)
(865) 977-1316
Entity
Organization
Contact information
Practice address
616 W LAMAR ALEXANDER PKWY, MARYVILLE, TN 37801-3904
(865) 977-1316
(865) 977-8742
Mailing address
616 W LAMAR ALEXANDER PKWY, MARYVILLE, TN 37801-3904
(865) 977-1316
(865) 977-8742
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
DPM0000000559
TN
213ES0103X
Foot & Ankle Surgery Podiatrist
DPM559
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3353534
—
TN
Enumeration date
04/17/2007
Last updated
07/29/2009
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