Organization
MID-SOUTH FOOT & ANKLE CLINIC P C
Active
Other names
Mid-South Foot Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BHEKUMUZI M KHUMALO D.P.M. (CEO)
(870) 732-3131
Entity
Organization
Contact information
Practice address
302 S RHODES ST, WEST MEMPHIS, AR 72301-4215
(870) 732-3131
(870) 732-1301
Mailing address
PO BOX 1118, FORREST CITY, AR 72336-1118
(870) 732-3131
(870) 732-1301
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
177
AR
Other
Enumeration date
09/23/2008
Last updated
09/29/2008
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