| East Tennessee Podiatry Associates Pllc | |
|
1 Sheridan Sq Ste 102, Kingsport, TN 37660-7398 | |
| (423) 722-5200 | |
| Not Available |
| Full Name | East Tennessee Podiatry Associates Pllc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 1 Sheridan Sq Ste 102, Kingsport, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669054318 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | (* (Not Available)) | Primary |
| Provider Name | Michael J Willis |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1780032706 PECOS PAC ID: 2466883384 Enrollment ID: I20210813000241 |
| Provider Name | Ann Wolford |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1093085367 PECOS PAC ID: 5294036612 Enrollment ID: I20210813000301 |
| Mailing Address | Practice Location Address |
|---|---|
| East Tennessee Podiatry Associates Pllc 1 Sheridan Sq Ste 102, Kingsport, TN 37660-7398 Ph: (423) 722-5200 | East Tennessee Podiatry Associates Pllc 1 Sheridan Sq Ste 102, Kingsport, TN 37660-7398 Ph: (423) 722-5200 |
Paul Benjamin Schodowski, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2004 American Way, Suite 115, Kingsport, TN 37660 Phone: 423-246-8840 Fax: 423-246-8559 | |
Benjamin Potter, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 430 W Ravine Rd, Kingsport, TN 37660 Phone: 423-245-3161 | |
Ann Wolford, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1 Sheridan Sq Ste 102, Kingsport, TN 37660 Phone: 423-722-5200 | |
Dr. Joe Howard Owens, D.P.M. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 2012 Brookside Dr, Suite 9, Kingsport, TN 37660 Phone: 423-392-6430 Fax: 423-392-6432 | |
Dr. Mark C Baxter, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 421 W Stone Dr, Suite 6, Kingsport, TN 37660 Phone: 423-245-4100 Fax: 423-245-0463 | |
Chad Lawrence, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 105 W Stone Dr Ste 4b, Kingsport, TN 37660 Phone: 423-578-1560 |