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Contact Information

SUPERIOR SOLES
1888 MAIN ST
MADISON, MS39110
 Phone: 601-503-0335
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Clinic/Center

261Q00000X
 

Primary Care

261QP2300X
Indicates primary specialty

NPI Profile & details for SUPERIOR SOLES

NPI # 1104466887
LBN Legal business name SUPERIOR SOLES
Authorized official LARONA SEARCY - (FNP)
Entity Organization
Organization subpart 1 No
Enumeration date 01/10/2020
Last updated 01/10/2020 - About 6 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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