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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

NICOLE M MACK

Active

NICOLE M MACK is a Foot & Ankle Surgery healthcare provider located in CANTON, Mississippi. NPI 1386031094 is currently active in the NPPES registry. Verify at CMS.

Foot & Ankle Surgery · CANTON, MS

Registration Details

NPI Number
1386031094
Provider Type
Individual
Gender
Female
NPI Issued
Apr 20, 2015 (11.328171274905 yrs)
Last Updated
Feb 9, 2016

Practice Information

Address
618 W ACADEMY ST
CANTON, MS, 390464225
Browse MS providers · Browse ZIP 39046
Phone
7692513329
Primary Specialty
Foot & Ankle Surgery
3747P1801X
Additional Specialty
Foot & Ankle Surgery
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.