NPI 1114201423

Robert Crockett Enterprise LLC

Organisation Foot & Ankle Surgery Podiatrist Meridian, MS

Practice location

Address: 2310 4th St Suite a, Meridian, MS 39301-5819
Phone: (601) 286-3745

Authorised official

Name: Robert S Crockett
Title: Member
Phone: (601) 286-3745

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: 1114201423
Entity type: Organization
NPI issued: 5 Oct 2011
Record last updated: 5 Oct 2011

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.