CANTON FOOT CLINIC

RAYMOND, MS
NPI1659447878
Entity TypeOrganization
Authorized ContactSANDRA F. THOMAS
Fnp
601-672-7835
Organization Subpart ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: MS  R772161)
Enumeration Date2006-11-28
Last Update Date2008-10-16
Business Address
CANTON FOOT CLINIC
205 RIDGE PARK CV N
RAYMOND, MS 39154-9679
Phone number: 601-672-7835
Mailing Address
CANTON FOOT CLINIC
PO BOX 720894
BYRAM, MS 39272-0894
Phone number: 601-672-7835