NPI 1144316092

Foot Clinic of Hattiesburg, P.A.

Organisation Primary Podiatric Medicine Podiatrist Hattiesburg, MS

Practice location

Address: 710 S 28th Ave STE B, Hattiesburg, MS 39402-2585
Phone: (601) 264-5793

Authorised official

Name: Stephen Ponton
Title: Owner
Phone: (601) 264-5793

Registered specialties

Primary Podiatric Medicine Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213EP1101X Licence 80087 (MS)

Other Podiatrist providers in Mississippi →

Registry record

NPI: 1144316092
Entity type: Organization
NPI issued: 5 Oct 2006
Record last updated: 22 Aug 2020

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.