Organization
FOOT CARE AND SURGICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERARD G GUERIN (OWNER)
(985) 320-0584
Entity
Organization
Contact information
Practice address
120 5TH AVE, MCCOMB, MS 39648-4159
(601) 362-3158
(601) 987-8800
Mailing address
47026 SCOTT DR, HAMMOND, LA 70401-7323
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00015989
—
MS
05
—
1323462
—
LA
Enumeration date
01/23/2009
Last updated
01/23/2009
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