MEDICARE: ADVANCED FOOT & ANKLE CENTER

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
1	213ES0131X	Foot Surgery Podiatrist	481	TN

General Provider Information

NPI Number	:	1285745588
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANCED FOOT & ANKLE CENTER

Provider Business Mailing Address
First Line	:	2900 KIRBY RD
Second Line	:	SUITE 5
City	:	MEMPHIS
State	:	TN
Zip	:	38119-8221
Country	:	US
Telephone Number	:	901-309-8898
Fax Number	:	901-309-5908

Provider Business Practice Location Address
First Line	:	2900 KIRBY RD
Second Line	:	SUITE 5
City	:	MEMPHIS
State	:	TN
Zip	:	38119-8221
Country	:	US
Telephone Number	:	901-309-8898
Fax Number	:	901-309-5908

Authorized Official
Title or Position	:	OWNER
Name	:	DR. NATHAN LUCAS
Credential	:	DPM
Telephone Number	:	901-309-8898

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	12/29/2008

Similar Medicare Providers

1851221386 — MICHELLE D CHAFFEN
Practice Location Address:

2900 KIRBY RD
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38119-8221

Practice Phone: 901-754-3200
Practice Fax:

1740247766 — DR. NATHAN LUCAS DPM
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1396799300 — DENISE M HIGHTOWER MD
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2900 KIRBY RD , STE 14
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1538176805 — DR. BRENDA MOZETTE HARDY M.D.
Practice Location Address:

2900 KIRBY RD , SUITE 11
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1245242221 — MARVA L SOUDER MD
Practice Location Address:

2900 KIRBY RD , SUITE 11
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38119-8221

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1487713681 — DR. STEVE D BALLARD DDS
Practice Location Address:

2900 KIRBY RD , SUITE 12
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Directions to “ADVANCED FOOT & ANKLE CENTER ” Practice Location

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