Organization
MY FOOT DOCTOR PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARRY SCHULMAN DPM (OWNER)
(423) 559-9700
Entity
Organization
Contact information
Practice address
106 STUART RD NE, CLEVELAND, TN 37312-4803
(423) 559-9700
Mailing address
106 STUART RD NE, CLEVELAND, TN 37312-4803
(423) 559-9700
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
000597
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3733372
—
TN
01
—
4118830
BLUE CROSS BLUE SHIELD
TN
01
—
DF2613
RAILROAD MEDICARE
TN
Enumeration date
02/20/2007
Last updated
09/12/2013
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