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MAGNOLIA FOOT CLINIC LLC
NPI 1699070326
Podiatrist - Foot & Ankle Surgery in Meridian, MS

Active since January 11, 2011
2310 4TH ST, SUITE A, MERIDIAN, MS 39301(601) 286-3745 Get Directions Write a Review

NPPES record last updated: July 25, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Magnolia Foot Clinic Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAGNOLIA FOOT CLINIC LLC (NPI 1699070326) is a healthcare organization registered as a foot & ankle surgery in Meridian, Mississippi and active in the NPI registry since January 2011. The organization lists Robert Seth Crockett, President, as its authorized official.

NPPES Registry Identity

NPI1699070326
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameMAGNOLIA FOOT CLINIC LLC
Location Address2310 4TH ST, SUITE AMeridian, MS 39301-5819
Mailing Address2310 4th St, Suite AMeridian, MS 39301-5819 · (601) 286-3745
Phone(601) 286-3745
Organization SubpartNo
Authorized OfficialRobert Seth CrockettPresident · (601) 934-8921
Enumeration DateJanuary 11, 2011
Last NPPES UpdateJuly 25, 2012
✔ NPI 1699070326 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in MS · 80193
2310 4TH ST, Meridian, MS 39301
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Other Identifiers 1

Medicare NSC6674440001MS

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROBERT CROCKETT ENTERPRISE LLC
Podiatrist (Foot & Ankle Surgery)
2310 4TH ST, SUITE A
MERIDIAN, MS 39301
Lauderdale County (601) 286-3745

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Magnolia Foot Clinic LLC's NPI number?

The NPI number for Magnolia Foot Clinic LLC is 1699070326. It was assigned to this organization in the NPPES registry on January 11, 2011.

Where is Magnolia Foot Clinic LLC located?

Magnolia Foot Clinic LLC is located at 2310 4th St Suite A, Meridian, MS 39301. The listed phone number is (601) 286-3745.

What is Magnolia Foot Clinic LLC's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

When was this NPI record last updated?

The NPPES record for Magnolia Foot Clinic LLC was last updated on July 25, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.