| NPI | 1962689042 |
|---|---|
| Doing Business As | THE FOOT CLINIC |
| Entity Type | Organization |
| Authorized Contact | BRIAN EDWARD SHOCKLEY President/Owner 601-638-7520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric (Licence: MS 80142) |
| Enumeration Date | 2008-01-30 |
| Last Update Date | 2011-01-28 |