Organization
TENNESSEE PODIATRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD ALAN BREEDEN DPM (OWNER)
(615) 369-6500
Entity
Organization
Contact information
Practice address
139 WILLIAMSBURGH WEST CT, NASHVILLE, TN 37221-2609
(615) 369-6500
Mailing address
PO BOX 331283, NASHVILLE, TN 37203
(615) 369-6500
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
0570
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3353846
—
TN
Enumeration date
02/29/2008
Last updated
03/20/2008
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