Podiatry Associates Of Central Mississippi
Podiatrist in Jackson, MS. Organization (NPI-2).
NPI number1114243151
StatusActive
Last updated in NPPESApr 15, 2010
Details
- NPI
- 1114243151
- Entity type
- Organization (NPI-2)
- Legal business name
- Podiatry Associates Of Central Mississippi
- Organization subpart
- Yes
- Enumeration date
- Apr 15, 2010
- Last updated
- Apr 15, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 213E00000X | Podiatrist | – | – | Yes |
Practice location
1860 Chadwick DrSuite 106
Jackson, MS 39204-3463
Phone 601-376-2963 · Fax 601-376-2967
Mailing address
1860 Chadwick DrSuite 106
Jackson, MS 39204-3463
Phone 601-376-2963 · Fax 601-376-2967
Authorized official
Stanley D McLemore
Senior Vice President
2395983131
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