Foot Clinic of Hattiesburg, P.a.
NPI #1144316092 in Hattiesburg, Mississippi
Provider Information
- NPI Number
- 1144316092
- Entity Type
- Organization
- Organization Name
- Foot Clinic of Hattiesburg, P.a.
- Primary Specialty
- Podiatrist - Primary Podiatric Medicine
- Enumeration Date
- Oct 5, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 710 S 28TH AVE
- Address 2
- STE B
- City
- Hattiesburg
- State
- Mississippi
- ZIP Code
- 39402-2585
- Phone
- (601) 264-5793
Authorized Official
- Name
- STEPHEN PONTON, DPM
- Title
- OWNER
- Phone
- (601) 264-5793
Specialties & Taxonomy Codes
| Specialty |
|---|
| Podiatrist - Primary Podiatric Medicine — Primary Podiatric Medicine |
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