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

DR. CRISTI LEE BOULDIN, DPM

Active Sole Proprietor

DR. CRISTI LEE BOULDIN, DPM is a Foot & Ankle Surgery Podiatrist healthcare provider located in MANCHESTER, Tennessee. NPI 1649403080 is currently active in the NPPES registry. Verify at CMS.

Foot & Ankle Surgery Podiatrist · MANCHESTER, TN

Registration Details

NPI Number
1649403080
Provider Type
Individual
Gender
Female
NPI Issued
Sep 2, 2009 (16.907267774444 yrs)
Last Updated
Jul 26, 2012
Licenses
SC006148 (PA)
727 (TN)
Sole Proprietor
Yes

Practice Information

Address
108 N SPRING ST
MANCHESTER, TN, 373551563
Browse TN providers · Browse ZIP 37355
Phone
9317283988
Fax
9317286530
Primary Specialty
Foot & Ankle Surgery Podiatrist
213ES0103X

Other Foot & Ankle Surgery Podiatrist Providers in MANCHESTER, TN

Name Credential NPI
MARK B SUPERSTEIN D.P.M. 1922009216
ERIC B BOULDIN D.P.M. 1316232382
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.