Organization
GIBSON COUNTY PODIATRY LLC
Active
Other names
Gibson County Podiatry LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES T HARRIS DPM (PRESIDENT)
(731) 855-1040
Entity
Organization
Contact information
Practice address
91 MILAN HWY STE A, MILAN, TN 38358-6047
(731) 855-1040
(731) 855-3927
Mailing address
91 MILAN HWY STE A, MILAN, TN 38358-6047
(731) 855-1040
(731) 855-3927
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1790981066
NPI
TN
Enumeration date
06/25/2007
Last updated
10/09/2019
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