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Organization

MSP BOONE CLINIC, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JONATHAN D TENLEY DPM (OWNER)
(828) 265-3668
Entity
Organization

Contact information

Practice address
610 STATE FARM RD STE C, BOONE, NC 28607-4713
(828) 265-3668
(828) 265-4417
Mailing address
136 MIMOSA DR, ASHEVILLE, NC 28806-1719
(828) 280-2565
(828) 252-2272

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary

Other

Enumeration date
10/20/2022
Last updated
12/28/2023
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