| NPI | 1184885147 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIE JAMES LEWIS Owner/President 601-355-0026 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MS 80062) |
| Enumeration Date | 2008-06-23 |
| Last Update Date | 2008-06-23 |