NPI 1356615512

The Wound & Podiatry Center

Organisation Foot Surgery Podiatrist Jackson, MS

Practice location

Address: 1815 Hospital Dr Suite 434, Jackson, MS 39204-3425
Phone: (601) 405-5583

Authorised official

Name: Percy Anderson
Title: Ceo/Owner
Phone: (601) 502-1100

Registered specialties

Foot Surgery Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0131X Licence 80107 (MS)

Other Podiatrist providers in Mississippi →

Registry record

NPI: 1356615512
Entity type: Organization
NPI issued: 5 Mar 2012
Record last updated: 5 Mar 2012

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.