Organization · Type 2 NPI
Robert Crockett Enterprise LLC
Foot & Ankle Surgery Podiatrist · Meridian, MS
NPI number
1114201423
Active
Practice location
2310 4th St, Suite A
Meridian, MS 39301-5819
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | 80193 (MS) |
Foot & Ankle Surgery Podiatrist: Definition to come...
Another provider at this address
Other foot & ankle surgery podiatrist providers in Meridian
About NPI 1114201423
Robert Crockett Enterprise LLC's National Provider Identifier is 1114201423, issued on Oct 5, 2011. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Meridian, MS. The record was last updated on Oct 5, 2011.