Individual
ERIC B BOULDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
108 N SPRING ST, MANCHESTER, MANCHESTER, TN 37355-1563
(931) 728-3988
(931) 728-6530
Mailing address
108 N SPRING ST, MANCHESTER, MANCHESTER, TN 37355-1563
(931) 728-3988
(931) 728-6530
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
713
TN
Other
Enumeration date
06/17/2011
Last updated
06/21/2011
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