NPI 1184885147

Mississippi Foot Clinic, INC

Organisation Foot & Ankle Surgery Podiatrist Jackson, MS

Practice location

Address: 128 Poindexter St, Jackson, MS 39203-3048
Phone: (601) 355-0026
Fax: (601) 355-0069
Mailing address: PO Box 10529, Jackson, MS 39289-0529

Authorised official

Name: Willie James Lewis
Title: Owner/President
Phone: (601) 355-0026

Registered specialties

Foot & Ankle Surgery Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0103X Licence 80062 (MS)

Other Podiatrist providers in Mississippi →

Registry record

NPI: 1184885147
Entity type: Organization
NPI issued: 23 Jun 2008
Record last updated: 23 Jun 2008

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.