Provider Demographics
NPI:1902600158
Name:PODIATRIC MINIMALLY INVASIVE SURGERY CENTER
Entity type:Organization
Organization Name:PODIATRIC MINIMALLY INVASIVE SURGERY CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:LANCE
Authorized Official - Middle Name:
Authorized Official - Last Name:REEVES
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:615-567-5622
Mailing Address - Street 1:125 COOL SPRINGS BLVD STE 250
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-6475
Mailing Address - Country:US
Mailing Address - Phone:615-567-5622
Mailing Address - Fax:615-567-5622
Practice Address - Street 1:125 COOL SPRINGS BLVD STE 250
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-6475
Practice Address - Country:US
Practice Address - Phone:615-567-5622
Practice Address - Fax:615-567-5622
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-04
Last Update Date:2025-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical