NPI 1013142017

Neshoba Foot and Ankle Clinic

Organisation Foot & Ankle Surgery Podiatrist Philadelphia, MS

Practice location

Address: 1003 Holland Ave Suite 102, Philadelphia, MS 39350-2180
Phone: (601) 663-1423
Fax: (601) 663-1474

Authorised official

Name: Stephanie Butler
Title: Cbo Manager
Phone: (601) 663-1423

Registered specialties

Foot & Ankle Surgery Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0103X Licence 80193 (MS)

Other Podiatrist providers in Mississippi →

Registry record

NPI: 1013142017
Entity type: Organization
NPI issued: 19 May 2009
Record last updated: 19 May 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.