| NPI | 1679649974 |
|---|---|
| Former Legal Business Name | FOOT CLINIC OF MERIDIAN |
| Entity Type | Organization |
| Authorized Contact | SCOTT JOSEPH HANEGAN Owner 601-483-6134 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0131X Podiatrist, Foot Surgery (Licence: MS 80165) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2013-02-12 |