Todd Divan, DPM

NPI 1235201898 · on the registry since 2006 · sole proprietor

Practice

Address: 1415 E Reelfoot Ave
Union City, TN 38261
Phone: (731) 885-0220
Fax: (731) 885-0216
Organisation at this address: Stephen D Raines
Stephen D Raines,
Feet First Podiatry Pc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy: 213ES0103X
213ES0103X
Also registered as: 213ES0131X
Licence states on file: IL, TN
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2013-05-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee