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Contact Information

CRISTI L BOULDIN, DPM
108 N SPRING ST
MANCHESTER, TN37355-1563
 Phone: 931-728-3988
 Fax: 931-728-6530
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for CRISTI L BOULDIN · (Female)

NPI # 1649403080
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 09/02/2009
Last updated 07/26/2012 - About 14 years ago
Sole proprietor 1 Yes
Identifiers
  • PA License # SC006148
  • TN License # 727
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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