Foot And Surgery Clinic, Inc

LBN: Foot And Surgery Clinic, Inc
Foot And Surgery Clinic, Inc is an health care organization with primary practice located at 7402 S Siwell Rd Suite 110, Byram MS 39272-9386. 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. Foot And Surgery Clinic, Inc can be contacted via phone (601) 372-3222, or through Edwards, Versheen via phone (601) 372-3222.

Contact Information

Primary practice address
7402 S Siwell Rd Suite 110 Byram MS 39272-9386
Phone: (601) 372-3222
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Edwards, Versheen Doctor of Podiatric Medicine (DPM)
Phone: (601) 372-3222

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 80112 Mississippi

Profile Details

NPI number 1124479100
LBN Legal business name Foot And Surgery Clinic, Inc
DBA Doing business as
Authorized official Edwards, Versheen Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 30th, 2016
Last updated Aug 21st, 2017 - about 7 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124479100 NPPES
Mississippi MEDICAID 00111109

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