NORTH MISSISSIPPI FOOT SPECIALISTS PC NPI 1417098963

NPI Information

NORTH MISSISSIPPI FOOT SPECIALISTS PC is a durable medical equipment medical supplies in Clarksdale, MS. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. NORTH MISSISSIPPI FOOT SPECIALISTS PC NPI is 1417098963. The provider is registered as an organization entity type.

The provider's business location address is:

319 EAST 2ND STREET
CLARKSDALE, MS
ZIP 38655
Phone: (662) 513-6600
Fax: (662) 513-0960

The provider's authorized official is R Michael Whitmore .
The authorized official title is President and has the following contact phone number (662) 513-6600.

The CLIA number assigned to this NPI record is 25D2092680 - intermediate care facility for mentally retarded with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/9/2007 and was last updated on 8/22/2020.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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