Premier Foot Clinic Pc in Clinton - Podiatrist
Premier Foot Clinic Pc - NPI 1790840080
Premier Foot Clinic Pc is a Podiatrist in Clinton, Mississippi. Premier Foot Clinic Pc practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Premier Foot Clinic Pc is 1790840080. The last update date is 2008-03-12.
Premier Foot Clinic Pc's current location address is 705 Highway 80 W, Clinton, Mississippi. You can contact this provider via phone number 6019261500 and fax number 6019261502. The mailing address for Premier Foot Clinic Pc is 705 Highway 80 W, Clinton, Mississippi. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Premier Foot Clinic Pc |
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Address | 705 Highway 80 W, Clinton, Mississippi |
Phone Number | 6019261500 |
Fax Number | 6019261502 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | OWNER PRES |
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Authorized Official Name | Thomas Monique Stefanie |
Credentials | DPM |
Telephone Number | 6019261500 |
NPI Number Detail
NPI Number | 1790840080 |
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Provider Enumeration Date | 2006-12-27 |
Last Updated Date | 2008-03-12 |
Provider Mailing Address Detail
Address | 705 Highway 80 W |
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City | Clinton |
State | Mississippi (MS) |
Post Code | 390564103 |
Phone Number | 6019261500 |
Fax Number | 6019261502 |
Provider's Primary Taxonomy Detail
Speciality | Podiatrist |
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Taxonomy | 213E00000X |
Licence No | 80151 |
Definition: A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
6981282 | MS | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Premier Foot Clinic Pc by the Centers for Medicare & Medicaid Services?
The Premier Foot Clinic Pc has been issued the NPI (National Provider Identifier) 1790840080, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Premier Foot Clinic Pc is physically located?
The Premier Foot Clinic Pc is situated at the following address: 705 Highway 80 W, Clinton, MS 390564103.
What is Premier Foot Clinic Pc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Premier Foot Clinic Pc is Podiatrist, and the taxonomy code that classifies this field of practice is 213E00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1790840080 to Premier Foot Clinic Pc?
The Centers for Medicare & Medicaid Services originally issued the 1790840080 to Premier Foot Clinic Pc on 2006-12-27.
As of what date was the information pertaining to Premier Foot Clinic Pc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Premier Foot Clinic Pc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-03-12.