Organization
FAMILY FOOT CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY BEAUCHAMP (OFFICE MANAGER)
(660) 385-4464
Entity
Organization
Contact information
Practice address
106 BUTLER ST STE A, MACON, MO 63552-1629
(660) 385-4464
(660) 385-1449
Mailing address
PO BOX 447, MACON, MO 63552-0447
(660) 385-4464
(660) 385-1449
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
Other
Enumeration date
03/18/2008
Last updated
01/22/2013
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