Provider Demographics
NPI:1447260724
Name:FOOT SOLUTIONS-
Entity type:Organization
Organization Name:FOOT SOLUTIONS-
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHONG YOL
Authorized Official - Middle Name:
Authorized Official - Last Name:WON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:901-758-3668
Mailing Address - Street 1:7685 FARMINGTON BLVD STE 113
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:38138-2956
Mailing Address - Country:US
Mailing Address - Phone:901-758-3668
Mailing Address - Fax:901-758-3338
Practice Address - Street 1:7685 FARMINGTON BLVD STE 113
Practice Address - Street 2:
Practice Address - City:GERMANTOWN
Practice Address - State:TN
Practice Address - Zip Code:38138-2956
Practice Address - Country:US
Practice Address - Phone:901-758-3668
Practice Address - Fax:901-758-3338
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies