Provider Demographics
NPI:1720039779
Name:AKERMAN, CAROL A (DPM)
Entity Type:Individual
Prefix:
First Name:CAROL
Middle Name:A
Last Name:AKERMAN
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2725 ASBURY RD
Mailing Address - Street 2:STE 102
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37914-6441
Mailing Address - Country:US
Mailing Address - Phone:865-329-3338
Mailing Address - Fax:865-329-3333
Practice Address - Street 1:2725 ASBURY RD
Practice Address - Street 2:SUITE 102
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37914-6441
Practice Address - Country:US
Practice Address - Phone:865-329-3338
Practice Address - Fax:865-329-3333
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-15
Last Update Date:2008-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDPM236213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN0601120001OtherDMERC
TN0021603OtherBLUE SHIELD
TN3350998Medicaid
TN0021603OtherBLUE SHIELD
TN3350998Medicare PIN
TN3350998Medicaid
TN3350997Medicare PIN