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Contact Information

MISSISSIPPI FOOT AND SURGICAL CENTER, LLC
1915 DUNBARTON DRIVE
JACKSON, MS39216
 Phone: 601-982-3338
 Fax: 601-982-2253
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for MISSISSIPPI FOOT AND SURGICAL CENTER LLC · (Female)

NPI # 1235209115
Status Active
Credentials
Entity Individual
Enumeration date 11/08/2006
Last updated 06/19/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • MS License # 80089
  • MS Medicaid 00012910
  • Other 480007636 RAILROAD MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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