Organization
EAST TENNESSEE FOOT CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAUREL BURGER COOK DPM (PRESIDENT)
(865) 981-4595
Entity
Organization
Contact information
Practice address
603 SMITHVIEW DR, MARYVILLE, TN 37803-6100
(865) 981-4595
(865) 981-4544
Mailing address
603 SMITHVIEW DR, MARYVILLE, TN 37803-6100
(865) 981-4595
(865) 981-4544
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
641
TN
Other
Enumeration date
06/17/2006
Last updated
10/14/2010
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