Provider Demographics
NPI:1548549785
Name:FOOT AND ANKLE SPECIALISTS OF MIDDLE TENNESSEE
Entity type:Organization
Organization Name:FOOT AND ANKLE SPECIALISTS OF MIDDLE TENNESSEE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DPM
Authorized Official - Prefix:
Authorized Official - First Name:MEEGHAN
Authorized Official - Middle Name:NICHOLE
Authorized Official - Last Name:GILES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-896-9493
Mailing Address - Street 1:1508 CARL ADAMS DR STE 102
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37129-4375
Mailing Address - Country:US
Mailing Address - Phone:615-896-9493
Mailing Address - Fax:615-494-4956
Practice Address - Street 1:1508 CARL ADAMS DR STE 102
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37129-4375
Practice Address - Country:US
Practice Address - Phone:615-896-9493
Practice Address - Fax:615-494-4956
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-05
Last Update Date:2022-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN719213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty