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Organization

FOOT SOLUTIONS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHONGYOL WON (OWNER)
(901) 758-3668
Entity
Organization

Contact information

Practice address
7685 FARMINGTON BLVD, SUITE 113, GERMANTOWN, TN 38138-2901
(901) 758-3668
(901) 758-3338
Mailing address
7685 FARMINGTON BLVD, SUITE 113, GERMANTOWN, TN 38138-2901
(901) 758-3668
(901) 758-3338

Taxonomy

Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
332BC3200X
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1437376944
NATIONAL PROVIDER IDENTIFIER (NPI)
Enumeration date
04/19/2007
Last updated
06/23/2008
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