La Miss Diabetic Shoes
La Miss Diabetic Shoes is a Durable Medical Equipment & Medical Supplies in Vicksburg, Mississippi. Licensed in Mississippi. Registered with an NPI since 2016.
- Licensed in
- MS
- In the registry since
- 2016
Practice location Address checks out
2200 Highway 61 N Ste 3400Vicksburg, MS 39183-8246
Phone: (601) 883-3342
Fax: (601) 856-5955
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Durable Medical Equipment & Medical Supplies (primary) | Taxonomy 332B00000X · Licence 80145 (MS) |
|---|
Record details
| NPI number | 1023478435 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Stephanie Phelan — Owner/Provider · (601) 883-3342 |
| NPI enumerated | February 26, 2016 |
| Last updated in NPPES | February 26, 2016 |
| Mailing address | 139 Southern Ridge Dr, Madison, MS 39110-9484 |
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