NPI Profile for Dr MACK J GROVES IV in COVINGTON, LA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Primary Podiatric Medicine |
213EP1101X | 48 | Podiatry | |
Podiatrist |
213E00000X | 48 | Podiatry | |
Surgery, Foot |
213ES0131X | 48 | Podiatry |
| 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 |
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| Hospital affiliation(s) |
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MACK J GROVES IV
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