NPI 1184009086

River Health Care, LLC

Organisation Podiatrist Brandon, MS

Practice location

Address: 426 Abbey Woods, Brandon, MS 39047-7719
Phone: (601) 941-6386
Mailing address: 4510 Office Park Dr, Jackson, MS 39206-6016

Authorised official

Name: Larry K Cruel
Title: Owner / President
Phone: (601) 941-6386

Registered specialties

Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213E00000X Licence 80152 (MS)

Other Podiatrist providers in Mississippi →

Registry record

NPI: 1184009086
Entity type: Organization
NPI issued: 21 Jul 2015
Record last updated: 21 Jul 2015

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.