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NPI Code Detail

MEDICARE: DR. BHEKUMUZI MCGLEN KHUMALO DPM

MEDICARE:  DR. BHEKUMUZI MCGLEN KHUMALO  DPM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1213ES0103XFoot & Ankle Surgery Podiatrist177AR
2213ES0103XFoot & Ankle Surgery Podiatrist494TN

Other Identifiers

General Provider Information

NPI Number : 1144312521
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BHEKUMUZI MCGLEN KHUMALO DPM
Provider Business Mailing Address
First Line : 1100 BISHOP ST
Second Line :
City : UNION CITY
State : TN
Zip : 38261-5402
Country : US
Telephone Number : 731-599-9909
Fax Number : 731-599-9970
Provider Business Practice Location Address
First Line : 1100 BISHOP ST
Second Line :
City : UNION CITY
State : TN
Zip : 38261-5402
Country : US
Telephone Number : 731-599-9909
Fax Number : 731-599-9970
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/29/2006
Last Update Date : 08/22/2024

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Directions to “ DR. BHEKUMUZI MCGLEN KHUMALO DPM” Practice Location

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