Advanced Foot Care Center in Jackson - Primary Podiatric Medicine
Advanced Foot Care Center - NPI 1497957120
Advanced Foot Care Center is a Primary Podiatric Medicine in Jackson, Mississippi. Advanced Foot Care Center practices all healthcare services and medical treatments related to Primary Podiatric Medicine. The NPI Number for Advanced Foot Care Center is 1497957120. The last update date is 2008-08-19.
Advanced Foot Care Center's current location address is 4510 Office Park Dr, Jackson, Mississippi. You can contact this provider via phone number 6019813001 and fax number 6019818999. The mailing address for Advanced Foot Care Center is 4510 Office Park Dr, Jackson, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Advanced Foot Care Center |
|---|---|
| Address | 4510 Office Park Dr, Jackson, Mississippi |
| Phone Number | 6019813001 |
| Fax Number | 6019818999 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PODIATRIST |
|---|---|
| Authorized Official Name | Cruel R Larry |
| Credentials | DPM |
| Telephone Number | 6019813001 |
NPI Number Detail
| NPI Number | 1497957120 |
|---|---|
| Provider Enumeration Date | 2007-06-04 |
| Last Updated Date | 2008-08-19 |
Provider Mailing Address Detail
| Address | 4510 Office Park Dr |
|---|---|
| City | Jackson |
| State | Mississippi (MS) |
| Post Code | 392066016 |
| Phone Number | 6019813001 |
| Fax Number | 6019818999 |
Provider's Primary Taxonomy Detail
| Speciality | Primary Podiatric Medicine |
|---|---|
| Taxonomy | 213Ep1101X |
| Licence No | 80152 |
|
Definition: A doctor of podiatric medicine expert in general podiatry health services related to medical diagnoses and treatment of the foot, ankle and lower extremities. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 9274794 | MS | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Advanced Foot Care Center by the Centers for Medicare & Medicaid Services?
The Advanced Foot Care Center has been assigned the NPI (National Provider Identifier) 1497957120 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where Advanced Foot Care Center is physically located?
The Advanced Foot Care Center is situated at the following address: 4510 Office Park Dr, Jackson, MS 392066016.
What is the Advanced Foot Care Center's specialty and taxonomy code?
The Advanced Foot Care Center's specialty is Primary Podiatric Medicine, and the corresponding taxonomy code is 213Ep1101X.
On what date did Advanced Foot Care Center receive its 1497957120 assignment from the Centers for Medicare & Medicaid Services?
The Advanced Foot Care Center was assigned its 1497957120 on 2007-06-04, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Advanced Foot Care Center most recently updated or revised?
The information pertaining to Advanced Foot Care Center, including its address, specialty, and other relevant details, was last updated or revised on 2008-08-19.