Brian Shwer,dpm
Podiatrist in Southaven, MS. Organization (NPI-2).
NPI number1508034331
StatusActive
Last updated in NPPESFeb 1, 2021
Details
- NPI
- 1508034331
- Entity type
- Organization (NPI-2)
- Legal business name
- Brian Shwer,dpm
- Organization subpart
- No
- Enumeration date
- Feb 14, 2008
- Certification date
- Feb 1, 2021
- Last updated
- Feb 1, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 213E00000X | Podiatrist | – | TN | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | DPM458 | TN |
Other names
- Southaven Foot Clinic (Doing Business As)
Practice location
564 Goodman Rd ESouthaven, MS 38671-9526
Phone 662-349-7333 · Fax 662-349-0550
Mailing address
564 Goodman Rd ESouthaven, MS 38671-9526
Phone 662-349-7333 · Fax 662-349-0550
Authorized official
Brian I Shwer
Owner
6623497333
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