Organization
FOOT SPECIALISTS OF SOUTH MISSISSIPPI PLLC
Active
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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