MAGNOLIA FOOT CLINIC LLC; NPI #1699070326

Contact Information

MAGNOLIA FOOT CLINIC LLC

2310 4TH ST
SUITE A
MERIDIAN, MS 39301-5819

Phone: 601-286-3745
Fax:
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 MAGNOLIA FOOT CLINIC LLC

NPI Number 1699070326

LBN Legal business name MAGNOLIA FOOT CLINIC LLC

Authorized official ROBERT CROCKETT - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 01/11/2011

Last updated 07/25/2012 - About 14 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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MAGNOLIA FOOT CLINIC LLC

Contact Information

Specialty

Surgery, Foot & Ankle

NPI Profile & details for MAGNOLIA FOOT CLINIC LLC

Reviews for MAGNOLIA FOOT CLINIC LLC