institution
Delta Foot Clinics, Inc
Podiatric Clinic/Center in Vicksburg, Mississippi
NPI 1962689042

Delta Foot Clinics, Inc is a Podiatric Clinic/Center based in Vicksburg, MS and is specialized in Podiatric. Delta Foot Clinics, Inc practices in Vicksburg, MS. The NPI Number for Delta Foot Clinics, Inc is 1962689042 and holds a License No. 80142 (Mississippi).

The current practice location address for Delta Foot Clinics, Inc is 1814 Mission 66, Vicksburg, MS and can be reached out via phone at 601-638-7520 and via fax at 601-638-7541.

Location: 1814 Mission 66, Vicksburg, MS, 39180-3710
institution
Provider Profile Details
NPI Number
1962689042
Provider Name
Delta Foot Clinics, Inc
Credential
Provider Entity Type
Organization
Address
1814 Mission 66, Vicksburg, MS, 39180-3710
Phone Number
601-638-7520
Fax Number
601-638-7541
Provider Enumeration Date
01/30/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4342670001 01 MS MEDOCARE DME
1851563 01 MS UNITED HEALTHCARE
00119033 05 MS
430434140A 01 MS BCBS
5963224 01 MS AETNA
1540447 05 LA
480026580 01 MS RAILROAD MEDICARE
412865 01 MS FIRST HEALTH
institution
Provider Business Practice Location Address Details
Address
1814 Mission 66
City
State
Zip
39180-3710
Phone Number
601-638-7520
Fax Number
601-638-7541
person
Provider Business Mailing Address Details
Address
1814 Mission 66
City
State
Zip
39180-3710
Phone Number
601-638-7520
Fax Number
601-638-7541
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Podiatric
Taxonomy
License No.
80142 (Mississippi)
Definition
Definition to come...
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