Individual
RHENNETTA BORK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
1503 HATCHER LN STE 100, COLUMBIA, TN 38401-4833
(931) 388-9922
(615) 332-0340
Mailing address
397 WALLACE RD STE 411, NASHVILLE, TN 37211-8028
(615) 332-0330
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
925
TN
213ES0131X
Foot Surgery Podiatrist
925
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q075257
—
TN
Enumeration date
03/27/2019
Last updated
11/23/2022
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