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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

EXCELSIOR PODIATRY CLINIC PLLC

Active Organization

EXCELSIOR PODIATRY CLINIC PLLC is a Exclusive Provider Organization organization located in SOMERVILLE, Tennessee. NPI 1124350087 is currently active in the NPPES registry. Verify at CMS.

Exclusive Provider Organization · SOMERVILLE, TN

Registration Details

NPI Number
1124350087
Provider Type
Organization
NPI Issued
Feb 3, 2010 (16.544797991984 yrs)
Last Updated
Feb 3, 2010
License
DPM0000000649 (TN)

Practice Information

Address
214 LAKEVIEW RD
SOMERVILLE, TN, 380689737
Browse TN providers · Browse ZIP 38068
Phone
9015164005
Fax
9015164023
Primary Specialty
Exclusive Provider Organization
302F00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.