Provider Demographics
NPI:1588800130
Name:BEST FOOT FORWARD PODIATRY, LLC
Entity Type:Organization
Organization Name:BEST FOOT FORWARD PODIATRY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PODIATRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DAMIEON
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:423-942-1252
Mailing Address - Street 1:2288 GUNBARREL RD STE 154-233
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37421-2609
Mailing Address - Country:US
Mailing Address - Phone:423-942-1252
Mailing Address - Fax:423-942-1265
Practice Address - Street 1:3697 MAIN ST
Practice Address - Street 2:
Practice Address - City:JASPER
Practice Address - State:TN
Practice Address - Zip Code:37347-0417
Practice Address - Country:US
Practice Address - Phone:423-942-1252
Practice Address - Fax:423-942-1265
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-05
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDPM0000000679213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty