Individual
CARL J SICILIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
7424 US HIGHWAY 64, STE 119, BARTLETT, TN 38135
(901) 381-2800
(901) 381-2677
Mailing address
7424 HIGHWAY 64, SUITE 119, BARTLETT, TN 38135
(901) 381-2800
(901) 381-2677
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
TN0000000422
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00450580
MEDICARE ID TYPE UNSPECIFIED
TN
Enumeration date
05/05/2006
Last updated
06/05/2008
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