Organization
TOTAL FOOT CARE, INC. OF TENNESSEE
Active
Organization
TOTAL FOOT CARE, INC. OF TENNESSEE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TYRONE TEAKO DAVIS DPM (PHYSICIAN)
(901) 523-7698
Entity
Organization
Contact information
Practice address
1204 MADISON AVE, MEMPHIS, TN 38104-2226
(901) 523-7698
(901) 272-2045
Mailing address
1204 MADISON AVE, MEMPHIS, TN 38104-2226
(901) 523-7698
(901) 272-2045
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
652
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3354184
—
TN
01
—
4142034
BCBST
TN
Enumeration date
02/28/2007
Last updated
08/18/2010
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