Superior Soles
NPI #1104466887 in Madison, Mississippi
Provider Information
- NPI Number
- 1104466887
- Entity Type
- Organization
- Organization Name
- Superior Soles
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- Jan 10, 2020
- Last Updated
- Jan 10, 2020
Practice Location
- Address
- 1888 MAIN ST
- City
- Madison
- State
- Mississippi
- ZIP Code
- 39110
- Phone
- (601) 503-0335
Authorized Official
- Name
- MS. LARONA RACHELLE SEARCY, FNP
- Title
- FNP
- Phone
- (601) 503-0335
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
| Clinic/Center - Primary Care — Primary Care |
| Nurse Practitioner |
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