| NPI | 1124479100 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERSHEEN EDWARDS President 601-372-3222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0131X Podiatrist, Foot Surgery (Licence: MS 80112) |
| Enumeration Date | 2016-06-30 |
| Last Update Date | 2017-08-21 |