NPI 1497957120

Advanced Foot Care Center

Organisation Primary Podiatric Medicine Podiatrist Jackson, MS

Practice location

Address: 4510 Office Park Dr, Jackson, MS 39206-6016
Phone: (601) 981-3001
Fax: (601) 981-8999

Authorised official

Name: Larry R Cruel
Title: Podiatrist Owner
Phone: (601) 981-3001

Registered specialties

Primary Podiatric Medicine Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213EP1101X Licence 80152 (MS)

Other Podiatrist providers in Mississippi →

Registry record

NPI: 1497957120
Entity type: Organization
NPI issued: 4 Jun 2007
Record last updated: 19 Aug 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.