Wjl Podiatry Clinic LLC
NPI #1063865343 in Jackson, Mississippi
Provider Information
- NPI Number
- 1063865343
- Entity Type
- Organization
- Organization Name
- Wjl Podiatry Clinic LLC
- Primary Specialty
- Clinic/Center - Podiatric
- Enumeration Date
- Jul 21, 2016
- Last Updated
- Mar 28, 2017
Practice Location
- Address
- 953 NORTH ST
- City
- Jackson
- State
- Mississippi
- ZIP Code
- 39202-2615
- Phone
- (601) 355-0026
Authorized Official
- Name
- WILLIE LEWIS, DPM
- Title
- DOCTOR
- Phone
- (601) 355-0026
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Podiatric — Podiatric |
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