Central Mississippi Foot Specialist, Pllc
LBN: Central Mississippi Foot Specialist, Pllc
Central Mississippi Foot Specialist, Pllc is an health care organization with primary practice located at 103 Service Dr , Brandon MS 39042-2401. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as the primary health care specialty.
Central Mississippi Foot Specialist, Pllc can be contacted via phone (601) 824-4700, or through Tamburino, Lawrence Edward via phone (601) 824-4700.
Contact Information
Primary practice address
103 Service Dr
Brandon MS 39042-2401
Phone: (601) 824-4700
Fax: (601) 824-4800
Website:
Authorized official contact:
Name: Tamburino, Lawrence Edward Doctor of Podiatric Medicine (DPM)
Phone: (601) 824-4700
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Foot Surgery | 213ES0131X | 80160 | Mississippi |
Profile Details
| NPI number | 1407052319 |
|---|---|
| LBN Legal business name | Central Mississippi Foot Specialist, Pllc |
| DBA Doing business as | |
| Authorized official | Tamburino, Lawrence Edward Doctor of Podiatric Medicine (DPM) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 26th, 2007 |
| Last updated | Apr 27th, 2015 - about 9 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407052319 | NPPES |
| Mississippi | MEDICAID | 09015930 |
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