| NPI | 1184009086 |
|---|---|
| Doing Business As | MAGNOLIA FOOT CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | LARRY K CRUEL Owner / President 601-941-6386 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: MS 80152) |
| Enumeration Date | 2015-07-21 |
| Last Update Date | 2015-07-21 |