Neshoba Foot And Ankle Clinic

NPI 1013142017 - Podiatrist - 213ES0103X

NPI Details
NPI 1013142017
Enumeration Date 05/19/2009
Last Updated 05/19/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name STEPHANIE STEPHANIE
Position CBO MANAGER
Phone (601) 663-1423
Fax (601) 663-1474
Practice Location
1003 HOLLAND AVE
SUITE 102
PHILADELPHIA MS, 39350-2180, US
Phone (601) 663-1423
Fax (601) 663-1474
Business Location
1003 HOLLAND AVE
SUITE 102
PHILADELPHIA MS, 39350-2180, US
Phone (601) 663-1423
Fax (601) 663-1474
Toxanomy
Taxonomy Code 213ES0103X
License State Mississippi
License Number 80193
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According to our database, Neshoba Foot And Ankle Clinic NPI is 1013142017, taxonomy code is 213ES0103X and license number is 80193, license state is located at Mississippi. Neshoba Foot And Ankle Clinic physically located at 1003 Holland Ave, Philadelphia MS, 39350-2180. NPI Number 1033115704 has the healthcare provider type.

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1013142017 NPI number is provided on an as is basis without warranty of any kind. 1013142017 is maintained by the National Plan & Provider Enumeration System. The contents of Neshoba Foot And Ankle Clinic are for informational purposes only.