Organization
WOUND AND PODIATRY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PERCY ANDERSON JR. DPM, CWS, CMET (CEO/OWNER)
(601) 502-1100
Entity
Organization
Contact information
Practice address
1815 HOSPITAL DR, SUITE 434, JACKSON, MS 39204-3425
(601) 405-5583
(601) 502-0111
Mailing address
1815 HOSPITAL DR, SUITE 434, JACKSON, MS 39204-3425
(601) 405-5583
(601) 502-0111
Taxonomy
Speciality
Code
Description
License number
State
213ES0000X
Sports Medicine Podiatrist
80107
MS
213ES0131X
Foot Surgery Podiatrist
Primary
80107
MS
Other
Enumeration date
03/23/2012
Last updated
03/23/2012
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