Organization
PODIATRIC CLINICS OF NORTHEAST TN
Active
Other names
Foot & Ankle Center
Organization subpart
No
Provider details
NPI number
Authorized official
SALLEE RANDOLPH DPM (OWNER)
(423) 232-1771
Entity
Organization
Contact information
Practice address
1303 SUNSET DR STE 6, JOHNSON CITY, TN 37604-7905
(423) 232-1771
(423) 929-0328
Mailing address
1303 SUNSET DR STE 6, JOHNSON CITY, TN 37604-7905
(423) 232-1771
(423) 929-0328
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
08/29/2019
Last updated
07/11/2024
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