Robert Crockett Enterprise Llc

NPI 1114201423 - Podiatrist - 213ES0103X

NPI Details
NPI 1114201423
Enumeration Date 10/05/2011
Last Updated 10/05/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name ROBERT S ROBERT
Position MEMBER
Phone (601) 286-3745
Fax
Practice Location
2310 4TH ST
SUITE A
MERIDIAN MS, 39301-5819, US
Phone (601) 286-3745
Fax
Business Location
2310 4TH ST
SUITE A
MERIDIAN MS, 39301-5819, US
Phone
Fax
Toxanomy
Taxonomy Code 213ES0103X
License State Mississippi
License Number 80193
Remove 1114201423 NPI Number
 

According to our database, Robert Crockett Enterprise Llc NPI is 1114201423, taxonomy code is 213ES0103X and license number is 80193, license state is located at Mississippi. Robert Crockett Enterprise Llc physically located at 2310 4th St, Meridian MS, 39301-5819. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1114201423 NPI number is provided on an as is basis without warranty of any kind. 1114201423 is maintained by the National Plan & Provider Enumeration System. The contents of Robert Crockett Enterprise Llc are for informational purposes only.