La-miss Podiatry & Foot Clinic

NPI 1245424688 - Durable Medical Equipment & Medical Supplies - 332B00000X

NPI Details
NPI 1245424688
Enumeration Date 08/29/2007
Last Updated 02/03/2014
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name STEPHANIE F STEPHANIE
Position OWNER
Phone (601) 883-3342
Fax (601) 856-5955
Practice Location
104 MCAULEY DR
VICKSBURG MS, 39183-2825, US
Phone (601) 883-3342
Fax (601) 856-5955
Business Location
104 MCAULEY DR
VICKSBURG MS, 39183-2825, US
Phone (601) 883-3342
Fax (601) 856-5955
Toxanomy
Taxonomy Code 332B00000X
License State Mississippi
License Number 80145
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According to our database, La-miss Podiatry & Foot Clinic NPI is 1245424688, taxonomy code is 332B00000X and license number is 80145, license state is located at Mississippi. La-miss Podiatry & Foot Clinic physically located at 104 Mcauley Dr, Vicksburg MS, 39183-2825. NPI Number 1033115704 has the healthcare provider type.

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1245424688 NPI number is provided on an as is basis without warranty of any kind. 1245424688 is maintained by the National Plan & Provider Enumeration System. The contents of La-miss Podiatry & Foot Clinic are for informational purposes only.