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

JLA SENIOR FOOTCARE MS LLC

Active Organization

JLA SENIOR FOOTCARE MS LLC is a Foot Surgery Podiatrist organization located in PETAL, Mississippi. NPI 1508161597 is currently active in the NPPES registry. Verify at CMS.

Foot Surgery Podiatrist · PETAL, MS

Registration Details

NPI Number
1508161597
Provider Type
Organization
NPI Issued
Jan 21, 2011 (15.582320103136 yrs)
Last Updated
Jan 21, 2011
License
80205 (MS)

Practice Information

Address
300 ARK LN
PETAL, MS, 394653606
Browse MS providers · Browse ZIP 39465
Phone
3307020978
Primary Specialty
Foot Surgery Podiatrist
213ES0131X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.