NPI 1023478435

La Miss Diabetic Shoes

Organisation Durable Medical Equipment & Medical Supplies Vicksburg, MS

Practice location

Address: 2200 Highway 61 N Suite 3400, Vicksburg, MS 39183-8246
Phone: (601) 883-3342
Fax: (601) 856-5955
Mailing address: 139 Southern Ridge Dr, Madison, MS 39110-9484

Authorised official

Name: Stephanie F Phelan
Title: Owner/Provider
Phone: (601) 883-3342

Registered specialties

Durable Medical Equipment & Medical Supplies Primary

Suppliers Taxonomy 332B00000X Licence 80145 (MS)

Other Durable Medical Equipment & Medical Supplies providers in Mississippi →

Registry record

NPI: 1023478435
Entity type: Organization
NPI issued: 26 Feb 2016
Record last updated: 26 Feb 2016

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.