| Davis Podiatry, Llc | |
|
128 Poindexter St, Jackson, MS 39203-3048 | |
| (601) 355-0026 | |
| (601) 355-0069 |
| Full Name | Davis Podiatry, Llc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 128 Poindexter St, Jackson, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912273814 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 80207 (Mississippi) | Primary |
| Provider Name | Stanitia W Davis |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1942463567 PECOS PAC ID: 4981879525 Enrollment ID: I20111209000775 |
| Mailing Address | Practice Location Address |
|---|---|
| Davis Podiatry, Llc 128 Poindexter St, Jackson, MS 39203-3048 Ph: (601) 355-0026 | Davis Podiatry, Llc 128 Poindexter St, Jackson, MS 39203-3048 Ph: (601) 355-0026 |
Dr. Lowery H Huff, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 500 0 Woodrow Wilson Ave, Jackson, MS 39216 Phone: 601-366-2661 Fax: 601-982-1740 | |
Podiatry Associates Of Central Mississippi Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1860 Chadwick Dr, Suite 106, Jackson, MS 39204 Phone: 601-376-2963 Fax: 601-376-2967 | |
Bryan Tipton Sullivan, DPM Podiatrist Medicare: May Accept Medicare Assignments Practice Location: 1915 Dunbarton Drive, Jackson, MS 39216 Phone: 601-982-3338 Fax: 601-982-2253 | |
Mississippi Foot Clinic, Inc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 128 Poindexter St, Jackson, MS 39203 Phone: 601-355-0026 Fax: 601-355-0069 | |
Bryan T Sullivan Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1915 Dunbarton Drive, Jackson, MS 39216 Phone: 601-982-3338 Fax: 601-982-2253 | |
Elizabeth G Tice Dpm Pllc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1860 Chadwick Drive, Suite 106, Jackson, MS 39204 Phone: 601-376-2963 Fax: 601-376-2967 | |
Dr. Robert Kelvin Woodruff, D.P.M., P.A. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 3855 Azalea Drive, Jackson, MS 39206 Phone: 601-366-7063 Fax: 601-366-7860 |