MEDICARE: PREMIER FOOT AND ANKLE CARE PC

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	213ES0103X	Foot & Ankle Surgery Podiatrist

General Provider Information

NPI Number	:	1760133706
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PREMIER FOOT AND ANKLE CARE PC

Provider Business Mailing Address
First Line	:	1412 TROTWOOD AVE STE 39
Second Line	:
City	:	COLUMBIA
State	:	TN
Zip	:	38401-4948
Country	:	US
Telephone Number	:	931-901-0296
Fax Number	:	931-901-0299

Provider Business Practice Location Address
First Line	:	1412 TROTWOOD AVE STE 39
Second Line	:
City	:	COLUMBIA
State	:	TN
Zip	:	38401-4948
Country	:	US
Telephone Number	:	931-505-9169
Fax Number	:

Authorized Official
Title or Position	:	OWNER/PODIATRIST
Name	:	DR. DANIELLE LOUISE MALIN MYERS
Credential	:	DPM
Telephone Number	:	931-901-0296

Provider Enumeration Date	:	01/11/2022
Last Update Date	:	04/08/2026

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