Delta Foot Clinics, INC
NPI #1962689042 in Vicksburg, Mississippi
Provider Information
- NPI Number
- 1962689042
- Entity Type
- Organization
- Organization Name
- Delta Foot Clinics, INC
- Primary Specialty
- Clinic/Center - Podiatric
- Enumeration Date
- Jan 30, 2008
- Last Updated
- Jan 28, 2011
Practice Location
- Address
- 1814 MISSION 66
- City
- Vicksburg
- State
- Mississippi
- ZIP Code
- 39180-3710
- Phone
- (601) 638-7520
Authorized Official
- Name
- DR. BRIAN EDWARD SHOCKLEY, DPM
- Title
- PRESIDENT/OWNER
- Phone
- (601) 638-7520
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Podiatric — Podiatric |
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