DR. Mack Jay Groves IV, DPM

NPI #1265460877 in Covington, Louisiana

Provider Information

NPI Number: 1265460877
Entity Type: Individual
Name: DR. Mack Jay Groves IV, DPM
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Podiatrist - Primary Podiatric Medicine
Credential: DPM
Enumeration Date: Jun 30, 2006
Last Updated: Jun 30, 2025

Practice Location

Address: 323 S TYLER ST
City: Covington
State: Louisiana
ZIP Code: 70433-3037
Phone: (985) 867-9605

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X
Podiatrist - Foot Surgery — Foot Surgery	213ES0131X
Podiatrist - Primary Podiatric Medicine — Primary Podiatric Medicine	213EP1101X	Primary

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