Organization
FAMILY FOOT CARE CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HENRY E CALVERT DPM (SOLE PRACTITIONER)
(662) 837-6083
Entity
Organization
Contact information
Practice address
713 TERRY ST, RIPLEY, MS 38663-1353
(662) 837-6083
Mailing address
PO BOX 693, RIPLEY, MS 38663-0693
(662) 837-6083
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
80113
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0111506
—
MS
Enumeration date
12/07/2007
Last updated
06/01/2009
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