NESHOBA FOOT AND ANKLE CLINIC; NPI #1013142017

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

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NPI Profile & details for NESHOBA FOOT AND ANKLE CLINIC

NPI Number 1013142017

LBN Legal business name NESHOBA FOOT AND ANKLE CLINIC

Authorized official STEPHANIE BUTLER - (CBO MANAGER)

Entity Organization

Organization subpart ¹ No

Enumeration date 05/19/2009

Last updated 05/19/2009 - About 17 years ago

Identifiers

License #

80193

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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NESHOBA FOOT AND ANKLE CLINIC

Contact Information

Specialty

Surgery, Foot & Ankle

NPI Profile & details for NESHOBA FOOT AND ANKLE CLINIC

Reviews for NESHOBA FOOT AND ANKLE CLINIC