Neshoba Foot And Ankle Clinic
Podiatrist, Foot & Ankle Surgery in Philadelphia, MS. Organization (NPI-2).
NPI number1013142017
StatusActive
Last updated in NPPESMay 19, 2009
Details
- NPI
- 1013142017
- Entity type
- Organization (NPI-2)
- Legal business name
- Neshoba Foot And Ankle Clinic
- Organization subpart
- No
- Enumeration date
- May 19, 2009
- Last updated
- May 19, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 213ES0103X | Podiatrist, Foot & Ankle Surgery | 80193 | MS | Yes |
Practice location
1003 Holland AveSuite 102
Philadelphia, MS 39350-2180
Phone 601-663-1423 · Fax 601-663-1474
Mailing address
1003 Holland AveSuite 102
Philadelphia, MS 39350-2180
Phone 601-663-1423 · Fax 601-663-1474
Authorized official
Stephanie Butler
Cbo Manager
6016631423
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