Middle Tennessee Foot Associates P C | |
108 N Spring St, Manchester, TN 37355-1563 | |
(931) 728-3988 | |
(931) 728-6530 |
Full Name | Middle Tennessee Foot Associates P C |
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Type | Facility |
Speciality | Podiatrist - Foot & Ankle Surgery |
Location | 108 N Spring St, Manchester, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437306198 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213ES0103X | Podiatrist - Foot & Ankle Surgery | 246 (Tennessee) | Primary |
Provider Name | Eric Brandon Bouldin |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1316232382 PECOS PAC ID: 7517136682 Enrollment ID: I20110805000264 |
Mailing Address | Practice Location Address |
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Middle Tennessee Foot Associates P C 108 N Spring St, Manchester, TN 37355-1563 Ph: (931) 728-3988 | Middle Tennessee Foot Associates P C 108 N Spring St, Manchester, TN 37355-1563 Ph: (931) 728-3988 |
Eric B Bouldin, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 108 N Spring St, Manchester, Manchester, TN 37355 Phone: 931-728-3988 Fax: 931-728-6530 | |
Dr. Cristi Lee Bouldin, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 108 N Spring St, Manchester, TN 37355 Phone: 931-728-3988 Fax: 931-728-6530 | |
Mark B Superstein, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 108 N Spring St, Manchester, TN 37355 Phone: 931-728-3988 Fax: 931-728-6530 |