| NPI | 1699070326 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT SETH CROCKETT President 601-934-8921 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MS 80193) |
| Enumeration Date | 2011-01-11 |
| Last Update Date | 2012-07-25 |