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Contact Information

MID-SOUTH FOOT & ANKLE CLINIC P C
302 S RHODES ST
WEST MEMPHIS, AR72301-4215
 Phone: 870-732-3131
 Fax: 870-732-1301
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for MID SOUTH FOOT ANKLE CLINIC P C · (Female)

NPI Number 1154571495
Status Active
Credentials
Entity Individual
Enumeration date 09/23/2008
Last updated 09/29/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • AR License # 177
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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