Organization
PODIATRY ASSOCIATES OF MERIDIAN, PLLC
Active
Other names
Foot Clinic of Meridian
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT JOSEPH HANEGAN DPM (OWNER)
(601) 483-6134
Entity
Organization
Contact information
Practice address
1300 25TH AVE, MERIDIAN, MS 39301-3916
(601) 483-6134
(601) 483-7247
Mailing address
1300 25TH AVE, MERIDIAN, MS 39301-3916
(601) 483-6134
(601) 483-7247
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
80165
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DD3897
MEDICARE RAILROAD
MS
01
—
RR9179
MEDICARE RAILROAD
MS
Enumeration date
11/28/2006
Last updated
02/12/2013
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