NPI 1699070326

Magnolia Foot Clinic LLC

Organisation Foot & Ankle Surgery Podiatrist Meridian, MS

Practice location

Address: 2310 4th St Suite a, Meridian, MS 39301-5819
Phone: (601) 286-3745

Authorised official

Name: Robert Seth Crockett
Title: President
Phone: (601) 934-8921

Registered specialties

Foot & Ankle Surgery Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0103X Licence 80193 (MS)

Other Podiatrist providers in Mississippi →

Registry record

NPI: 1699070326
Entity type: Organization
NPI issued: 11 Jan 2011
Record last updated: 25 Jul 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.