Canton Foot Clinic
Canton Foot Clinic is a Nurse Practitioner in Raymond, Mississippi. Licensed in Mississippi. Registered with an NPI since 2006.
- Licensed in
- MS
- In the registry since
- 2006
Practice location Address checks out
205 Ridge Park Cv NRaymond, MS 39154-9679
Phone: (601) 672-7835
Fax: (601) 346-7133
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Nurse Practitioner (primary) | Taxonomy 363L00000X · Licence R772161 (MS) |
|---|
Record details
| NPI number | 1659447878 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Sandra Thomas — Fnp · (601) 672-7835 |
| NPI enumerated | November 28, 2006 |
| Last updated in NPPES | October 16, 2008 |
| Mailing address | Po Box 720894, Byram, MS 39272-0894 |