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Organization

FOOT AND WOUND INSTITUTE OF THE SOUTH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GERARD GUERIN JR. (OWNER)
(985) 345-6616
Entity
Organization

Contact information

Practice address
157 FE SELLERS HIGHWAY, MONTICELLO, MS 39654
(601) 362-3158
(318) 336-4052
Mailing address
157 SELLERS HWY, MONTICELLO, MS 39654
(601) 362-3158

Taxonomy

Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
80070
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00015989
MS
05
1323462
LA
Enumeration date
02/28/2008
Last updated
04/20/2008
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