BRIAN EDWARD SHOCKLEY

VICKSBURG, MS
NPI1477662229
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy213E00000X Podiatrist
(Licence: MS  MS80142)
Enumeration Date2006-08-29
Last Update Date2011-01-26
Business Address
Dr. BRIAN EDWARD SHOCKLEY D P M
1814 MISSION 66
VICKSBURG, MS 39180-3710
Phone number: 601-638-7520
Mailing Address
Dr. BRIAN EDWARD SHOCKLEY D P M
1814 MISSION 66
VICKSBURG, MS 39180-3710
Phone number: 601-638-7520