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Contact Information

REVA A BORK, DPM
397 WALLACE RD, BLDG. C
STE. 411
NASHVILLE, TN37211-8028
 Phone: 615-332-0330
 Fax: 615-332-0340
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for REVA A BORK · (Female)

NPI # 1659832038
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 03/27/2019
Last updated 06/26/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • TN License # 924
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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