Organization
MISSISSIPPI FOOT SPECIALISTS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
R MICHAEL WHITMORE DPM (PRESIDENT)
(662) 513-6600
Entity
Organization
Contact information
Practice address
107 CHURCH ST, BELZONI, MS 39038
(662) 513-6600
(662) 513-0960
Mailing address
PO BOX 1233, OXFORD, MS 38655-1233
(662) 513-6600
(662) 513-0960
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02333593
—
MS
01
—
4984180013
PALMETTO GBA DME SUPPLIER
MS
Enumeration date
02/08/2007
Last updated
08/22/2020
Update your record
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