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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