Organization
MADISON FOOT CLINIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMMAD R PARSA DPM (OWNER)
(601) 605-8770
Entity
Organization
Contact information
Practice address
980 HIGHWAY 51 STE B, MADISON, MS 39110-8409
(601) 605-8770
(601) 605-8773
Mailing address
980 HIGHWAY 51 STE B, MADISON, MS 39110-8409
(601) 605-8770
(601) 605-8773
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
80153
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00122886
—
MS
Enumeration date
03/29/2007
Last updated
08/22/2020
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