Wound And Podiatry Center, NPI 1790051738
Foot Surgery Podiatrist in Jackson, MS, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1790051738
NPI Entity Type Organization
Provider Name Wound And Podiatry Center
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 1815 Hospital Dr, Suite 434, Jackson, MS, US
Provider Mailing Address 1815 Hospital Dr, Suite 434, Jackson, MS, US, 392043425
Is Sole Proprietor? No
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Organization Official

Official Name DR. DPM, CWS, CMET Percy Anderson JR.
Official Position CEO/OWNER
Phone 601-502-1100

Group Taxonomy

Taxonomy Code 193200000X
Taxonomy Name 193200000X MULTI-SPECIALTY GROUP
Definition A business group of one or more individual practitioners, who practice with different areas of specialization.

Primary Taxonomy

Taxonomy Code

213ES0131X

Taxonomy Name Foot Surgery Podiatrist
Classification

Podiatrist

Group

Podiatric Medicine & Surgery Service Providers

License No. 80107
License State MS
Description Definition to come...

Business Address

Wound And Podiatry Center
1815 Hospital Dr
Suite 434

Jackson, MS, US

Phone: 601-405-5583
Fax: 601-502-0111

Mailing Address

Wound And Podiatry Center
1815 Hospital Dr
Suite 434
Jackson, MS, US
ZIP 392043425
Phone: 601-405-5583
Fax: 601-502-0111

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

213ES0000X

Podiatric Medicine & Surgery Service Providers

Podiatrist

80107 MS No

Other Providers in MS, US

NPI Name Taxonomy Address

1225531486

MISS MOT, OTR/L, SCLV Shirley Blanton

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IDD WAIVER SERVICES Monolisa Keyes

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IDD WAIVER SERVICES Sharika Jones

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IDD WAIVER SERVICES Loverta Jones

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IDD WAIVER SERVICES Tamekia Mckines

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IDD WAIVER SERVICES Porosha Gaines

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DNP, APRN, AGACNP-BC Jo'niece Phillips Redmond

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IDD WAIVER SERVICES Fraxine Graves

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IDD WAIVER SERVICES Judy Jones

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IDD WAIVER SERVICES Michael Mcdonald

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IDD WAIVER SERVICES Pamela Mcandrews

Individual

Day Training/Habilitation Specialist

106 Mize St Apt 26

Ellisville, MS

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