Individual
DR. CRISTI LEE BOULDIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
108 N SPRING ST, MANCHESTER, TN 37355-1563
(931) 728-3988
(931) 728-6530
Mailing address
108 N SPRING ST, MANCHESTER, TN 37355-1563
(931) 728-3988
(931) 728-6530
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
727
TN
213ES0103X
Foot & Ankle Surgery Podiatrist
SC006148
PA
Other
Enumeration date
09/02/2009
Last updated
07/26/2012
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