PRIME FOOT CARE PLLC NPI 1073557799

NPI Information

  • NPI: 1073557799
  • Provider Name: PRIME FOOT CARE, PLLC
  • Classification: Clinic/Center - 261QP1100X
  • Specialization: Podiatric
  • Entity Type: Organization
  • Doing Business As: DESOTO FOOT CARE
  • Address: 9065 SANDIDGE CENTER COVE
    STE C
    OLIVE BRANCH, MS
    ZIP 38654
  • Phone: (662) 893-0533

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NPI Details

PRIME FOOT CARE, PLLC is a podiatric clinic center in Olive Branch, MS. PRIME FOOT CARE, PLLC NPI is 1073557799. The provider is registered as an organization entity type.
The provider Is Doing Business As Desoto Foot Care.

The provider's business location address is:

9065 SANDIDGE CENTER COVE
STE C
OLIVE BRANCH, MS
ZIP 38654-574
Phone: (662) 893-0533
Fax: (662) 985-6821

The provider's authorized official is Carla Arnette Martin .
The authorized official title is Podtiatrist and has the following contact phone number (662) 893-0533.

The enumeration date for this NPI number is 6/15/2006 and was last updated on 2/20/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP1100XClinic/CenterPodiatric80159MISSISSIPPIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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