Organization
DEPENNDABLE FOOTCARE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MILTON EARL PENN D.P.M. (PODIATRIST/OWNER)
(615) 243-7636
Entity
Organization
Contact information
Practice address
3408 BRIDGETON COVE, ANTIOCH, TN 37013
(615) 321-2711
(615) 321-2714
Mailing address
P.O. BOX 17798, NASHVILLE, TN 37217-2543
(615) 243-7636
(615) 225-2811
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
DPM0000000452
TN
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
DPM452
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3734591
—
TN
01
—
4123039
BCBS
TN
Enumeration date
08/29/2006
Last updated
06/21/2018
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