Adult And Pediatric Foot Center, Llc

LBN: Adult And Pediatric Foot Center, Llc
Adult And Pediatric Foot Center, Llc is an health care organization with primary practice located at 5362 Estate Office Dr Suite 1, Memphis TN 38119-3635. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as the primary health care specialty. Adult And Pediatric Foot Center, Llc can be contacted via phone (901) 537-0078, or through Knowles, Antonio Lavale via phone (901) 537-0078.

Contact Information

Primary practice address
5362 Estate Office Dr Suite 1 Memphis TN 38119-3635
Phone: (901) 537-0078
Fax: (901) 537-0096
Website:
Map and Directions
Authorized official contact:
Name: Knowles, Antonio Lavale Doctor of Podiatric Medicine (DPM)
Phone: (901) 537-0078

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 4822210 Tennessee

Profile Details

NPI number 1407025935
LBN Legal business name Adult And Pediatric Foot Center, Llc
DBA Doing business as
Authorized official Knowles, Antonio Lavale Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 28th, 2008
Last updated Oct 21st, 2015 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407025935 NPPES
Tennessee MEDICAID 3353516

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