WJL PODIATRY CLINIC LLC

JACKSON, MS
NPI1063865343
Entity TypeOrganization
Authorized ContactWILLIE LEWIS
Doctor
601-355-0026
Organization Subpart ?No
Primary Taxonomy261QP1100X Clinic/Center, Podiatric
(Licence: MS  80062)
Enumeration Date2016-07-21
Last Update Date2017-03-28
Business Address
WJL PODIATRY CLINIC LLC
953 NORTH ST
JACKSON, MS 39202-2615
Phone number: 601-355-0026
Mailing Address
WJL PODIATRY CLINIC LLC
953 NORTH ST
JACKSON, MS 39202-2615
Phone number: 601-355-0026