Organization
FOOT SPECIALISTS OF SOUTH MISSISSIPPI PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JAIME L SWINFORD (BILLING MANAGER)
(228) 818-2801
Entity
Organization
Contact information
Practice address
3704 BIENVILLE BLVD, SUITE A1, OCEAN SPRINGS, MS 39564
(228) 818-2801
Mailing address
PO BOX 6278, DIBERVILLE, MS 39540-6278
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
80130
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00116781
—
MS
Enumeration date
03/29/2007
Last updated
08/22/2020
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