Organization
FOOT SPECIALISTS OF SOUTH MISSISSIPPI PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIMBERLY GIBBS (OFFICE MANAGER)
(228) 818-2801
Entity
Organization
Contact information
Practice address
999 N HALSTEAD RD, OCEAN SPRINGS, MS 39564-3105
(228) 818-2801
(228) 818-2803
Mailing address
PO BOX 6278, DIBERVILLE, MS 39540-6278
(228) 818-2801
(228) 818-2803
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
80130
MS
291U00000X
Clinical Medical Laboratory
Primary
—
MS
332B00000X
Durable Medical Equipment & Medical Supplies
80130
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00116781
—
MS
Enumeration date
10/27/2006
Last updated
07/21/2022
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