location
search-icon
person
Dr. Mack Jay Groves IV, DPM
Primary Podiatric Medicine Podiatrist in Covington, Louisiana
NPI 1265460877

Mack Jay Groves IV is a Primary Podiatric Medicine Podiatrist based in Covington, LA and is specialized in Primary Podiatric Medicine. Mack Jay Groves IV practices in Covington, LA and has the professional credentials of DPM. The NPI Number for Mack Jay Groves IV is 1265460877 and holds a License No. PD190R (Louisiana).

The current practice location address for Mack Jay Groves IV is 323 S Tyler St, Covington, LA and can be reached out via phone at 985-867-9605 and via fax at 985-867-9001.

Location: 323 S Tyler St, Covington, LA, 70433-2352
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265460877
Provider Name
Mack Jay Groves IV
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
323 S Tyler St, Covington, LA, 70433-2352
Phone Number
985-867-9605
Fax Number
985-867-9001
Provider Enumeration Date
06/30/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
1265460877 01 BLUECROSS
institution
Provider Business Practice Location Address Details
Address
323 S Tyler St
City
Covington
State
Louisiana
Zip
70433-3037
Phone Number
985-867-9605
Fax Number
985-867-9001
person
Provider Business Mailing Address Details
Address
323 S Tyler St
City
Covington
State
Louisiana
Zip
70433-3037
Phone Number
985-867-9605
Fax Number
985-867-9001
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
213E00000X
License No.
DPM.190R (Louisiana)
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
person
Provider's Taxonomy Details 2
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Primary Podiatric Medicine
Taxonomy
213EP1101X
License No.
PD190R (Louisiana)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot Surgery
Taxonomy
213ES0131X
License No.
PD190R (Louisiana)
Definition
Definition to come...
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.