| Superior Soles | |
|
1888 Main St Madison MS 39110 | |
| (601) 503-0335 | |
| Not Available |
| Full Name | Superior Soles |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 1888 Main St, Madison, Mississippi |
| Authorized Official Name and Position | Larona Rachelle Searcy (FNP) |
| Authorized Official Contact | 6015030335 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Superior Soles 161 Woodland Dr Madison MS 39110-8751 Ph: (601) 503-0335 | Superior Soles 1888 Main St Madison MS 39110 Ph: (601) 503-0335 |
| NPI Number | 1104466887 |
|---|---|
| Provider Enumeration Date | 01/10/2020 |
| Last Update Date | 01/10/2020 |
| Certification Date | 01/10/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104466887 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Secondary |
| 261QP2300X | Clinic/center - Primary Care | () | Secondary |
| 363L00000X | Nurse Practitioner | () | Primary |
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