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NESHOBA FOOT AND ANKLE CLINIC
Surgery, Foot & Ankle

NPI Profile for NESHOBA FOOT AND ANKLE CLINIC in PHILADELPHIA, MS.

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Contact Information

NESHOBA FOOT AND ANKLE CLINIC
1003 HOLLAND AVE
SUITE 102
PHILADELPHIA, MS  39350-2180
 Phone: 601-663-1423
 Fax: 601-663-1474
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

 213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for NESHOBA FOOT AND ANKLE CLINIC · (Female)

NPI Number 1013142017
Status Active
Credentials
Entity Individual
Enumeration date 05/19/2009
Last updated 05/19/2009 - About 17 years ago
Sole proprietor 1 Not specified
Identifiers
  • MS License # 80193
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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