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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
Update your record

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