| Cleveland Foot Clinic Inc | |
|
140 North St, Cleveland, MS 38732-2744 | |
| (662) 843-3668 | |
| Not Available |
| Full Name | Cleveland Foot Clinic Inc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Primary Podiatric Medicine |
| Location | 140 North St, Cleveland, Mississippi |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578661633 | NPI | - | NPPES |
| 09014929 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213EP1101X | Podiatrist - Primary Podiatric Medicine | 80066 (Mississippi) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Cleveland Foot Clinic Inc Po Box 907, Cleveland, MS 38732-0907 Ph: (662) 843-3668 | Cleveland Foot Clinic Inc 140 North St, Cleveland, MS 38732-2744 Ph: (662) 843-3668 |
Dr. Kessa Mauras, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 800 N Pearman Ave, Cleveland, MS 38732 Phone: 888-757-0838 | |
Charles E Hicks, Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 140 North St, Cleveland, MS 38732 Phone: 662-843-3668 Fax: 662-846-1894 |