Individual
REVA ANN BORK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
397 WALLACE RD, BLDG. C, STE. 411, NASHVILLE, TN 37211-8028
(615) 332-0330
(615) 332-0340
Mailing address
397 WALLACE RD, BLDG. C, STE. 411, NASHVILLE, TN 37211-8028
(615) 332-0330
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
924
TN
Other
Enumeration date
03/27/2019
Last updated
06/26/2024
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