Organization
FOOT CLINIC OF COLUMBUS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES H KILGORE DPM (PODIATRIST OWNER)
(662) 327-8910
Entity
Organization
Contact information
Practice address
116 LAWRENCE DR, SUITE 2, COLUMBUS, MS 39702-5319
(662) 327-8910
Mailing address
PO BOX 2763, COLUMBUS, MS 39704-2763
(662) 327-8910
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05276776
—
MS
01
—
DB7345
RAILROAD MEDICARE
MS
Enumeration date
03/22/2007
Last updated
11/11/2008
Update your record
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