Organization · Type 2 NPI
Neshoba Foot and Ankle Clinic
Foot & Ankle Surgery Podiatrist · Philadelphia, MS
NPI number
1013142017
Active
Practice location
1003 Holland Ave, Suite 102
Philadelphia, MS 39350-2180
Fax (601) 663-1474
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | 80193 (MS) |
Foot & Ankle Surgery Podiatrist: Definition to come...
3 other providers at this address
About NPI 1013142017
Neshoba Foot and Ankle Clinic's National Provider Identifier is 1013142017, issued on May 19, 2009. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Philadelphia, MS. The record was last updated on May 19, 2009.