Organization
TENNESSEE FOOT & ANKLE SPECIALISTS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES ALLEN SUDBERRY DPM (PRESIDENT)
(615) 785-6890
Entity
Organization
Contact information
Practice address
397 WALLACE RD, BLDG C SUITE 311, NASHVILLE, TN 37211-4854
(615) 785-6890
(615) 369-3095
Mailing address
397 WALLACE RD, BLDG C SUITE 311, NASHVILLE, TN 37211-4854
(615) 785-6890
(615) 369-3095
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
644
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
TN
Enumeration date
09/10/2013
Last updated
09/10/2013
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