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BLACKWELL FAMILY FOOT CARE NPI 1669077038


NPI Information

NPI: 1669077038
Provider Name: BLACKWELL FAMILY FOOT CARE
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
1815 HOSPITAL DR STE 301
JACKSON, MS
ZIP 39204
Phone: (601) 449-0192
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BLACKWELL FAMILY FOOT CARE is a podiatrist in Jackson, MS. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. BLACKWELL FAMILY FOOT CARE NPI is 1669077038. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1815 HOSPITAL DR STE 301
JACKSON, MS
ZIP 39204-425
Phone: (601) 449-0192
Fax: (601) 449-0194

The provider's authorized official is Ashley Dawn Blackwell .
The authorized official title is Provider and has the following contact phone number (601) 449-0192.

The enumeration date for this NPI number is 12/2/2020 and was last updated on 1/18/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213E00000XPodiatristYes

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: 11/14/2023

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