Organization Name: | MAGEE FAMILY FOOTCARE PLLC |
NPI Number: | 1801064290 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DENVER L. CARTER (OWNER/DPM) |
Mailing Address: | 1663 Simpson Hwy 49 Ste 1 Magee |
State: | MS US |
Postal Code: | 39111 |
Phone Number: | 6018490444 |
Fax Number: | 6018490404 |
NPI Enumeration Date: | 02/19/2008 |
NPI Last Update Date: | 02/19/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0131X |
License Number: | 80174 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot Surgery |
Taxonomy Definition: |