| |
3443 Dickerson Pike Ste 740, Nashville, TN 37207-2527 | |
(615) 866-9639 | |
(615) 915-9640 |
Full Name | |
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Type | Facility |
Speciality | Clinic/center - Podiatric |
Location | 3443 Dickerson Pike Ste 740, Nashville, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154889533 | NPI | - | NPPES |
106571775 | Other | TN | DRIVER LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213ES0103X | Podiatrist - Foot & Ankle Surgery | (* (Not Available)) | Secondary |
261QP1100X | Clinic/center - Podiatric | (* (Not Available)) | Primary |
Provider Name | Gary W Cockrell |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1053452128 PECOS PAC ID: 3678607363 Enrollment ID: I20100817000775 |
Provider Name | David A Farnen |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1730445164 PECOS PAC ID: 4789950130 Enrollment ID: I20171030002731 |
Provider Name | Danielle L Schroeder |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1093164550 PECOS PAC ID: 3870822174 Enrollment ID: I20190911003882 |
Provider Name | Yerusalem Lanier |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1760836290 PECOS PAC ID: 6204167547 Enrollment ID: I20191017000989 |
Mailing Address | Practice Location Address |
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1725 Hudson Rd, Madison, TN 37115-5705 Ph: (615) 582-5069 | 3443 Dickerson Pike Ste 740, Nashville, TN 37207-2527 Ph: (615) 866-9639 |