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Contact Information

MACK J GROVES IV, DPM
323 S TYLER ST
COVINGTON, LA70433-3037
 Phone: 985-867-9605
 Fax: 985-867-9001
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Primary Podiatric Medicine

213EP1101X 48 Podiatry
 

Podiatrist

213E00000X 48 Podiatry
 

Surgery, Foot

213ES0131X 48 Podiatry
Indicates primary specialty

NPI Profile & details for MACK J GROVES IV · (Male)

NPI Number 1265460877
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 06/30/2006
Last updated 06/30/2025 - About 11 months ago
Sole proprietor 1 Yes
Identifiers
  • LA License # DPM.190R
  • LA License # PD190R
  • Other 1265460877 BLUECROSS
Hospital affiliation(s)
  • ST TAMMANY PARISH HOSPITAL - (Acute Care)
    1202 S TYLER STREET
    COVINGTON, LA 70433
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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