Organization
TENNESSEE FOOT & ANKLE SURGEONS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID E HAVERLY DPM (CEO)
(931) 787-1170
Entity
Organization
Contact information
Practice address
320 S MAIN ST, CROSSVILLE, TN 38555-4838
(931) 787-1170
(931) 787-1370
Mailing address
320 S MAIN ST, CROSSVILLE, TN 38555-4838
(931) 787-1170
(931) 787-1370
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
DPM379
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3351747
—
TN
Enumeration date
04/26/2008
Last updated
04/27/2015
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