OrganizationActive
Mississippi Foot and Surgical Center, LLC
NPI 1235209115 · Podiatrist · Jackson, MS
Provider details
- NPI number
- 1235209115
- Entity type
- Organization
- Primary specialty
- PodiatristPodiatric Medicine & Surgery Service Providers
- Authorized official
- Bryan Sullivan, Owner
- License
- 80089 (MS)
Practice location
1915 Dunbarton Drive
Jackson, MS 39216
Phone: (601) 982-3338
Fax: (601) 982-2253
Mailing address
1915 Dunbarton Drive
Jackson, MS 39216
Registry dates
- Enumerated
- 2006-11-08
- Last updated
- 2008-06-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.