MID-SOUTH FOOT & ANKLE CLINIC P C; NPI #1154571495

Contact Information

MID-SOUTH FOOT & ANKLE CLINIC P C

302 S RHODES ST
WEST MEMPHIS, AR 72301-4215

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

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NPI Profile & details for MID-SOUTH FOOT & ANKLE CLINIC P C

NPI # 1154571495

LBN Legal business name MID-SOUTH FOOT & ANKLE CLINIC P C

Authorized official BHEKUMUZI KHUMALO - (CEO)

Entity Organization

Organization subpart ¹ No

Enumeration date 09/23/2008

Last updated 09/29/2008 - About 18 years ago

Identifiers

License #

177

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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MID-SOUTH FOOT & ANKLE CLINIC P C

Contact Information

Specialty

Surgery, Foot & Ankle

NPI Profile & details for MID-SOUTH FOOT & ANKLE CLINIC P C

Reviews for MID-SOUTH FOOT & ANKLE CLINIC P C