# TRAPOD LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SOUTHAVEN FOOT CLINIC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1780928739
- **Legal business name:** SOUTHAVEN FOOT CLINIC
- **Authorized official:** BRIAN SHWER DPM (PRESIDENT)
- **Authorized official phone:** (662) 349-7333

## Contact information

- **Practice address:** 564 GOODMAN RD E, SOUTHAVEN, MS 38671-9526
- **Practice address phone:** (662) 349-7333
- **Mailing address:** 564 GOODMAN RD E, SOUTHAVEN, MS 38671-9526
- **Mailing address phone:** (662) 349-7333

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/15/2012
- **Last updated:** 11/15/2012
