OrganizationActive
Interventional Diabetes Center LLC 2
NPI 1316736432 · Podiatrist · Clarksdale, MS
Provider details
- NPI number
- 1316736432
- Entity type
- Organization
- Primary specialty
- PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Maurice Hampton, Owner(919) 223-8208
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
- Nephrology Physician207RN0300X
Allopathic & Osteopathic Physicians
- Nurse Practitioner363L00000X
Physician Assistants & Advanced Practice Nursing Providers
Practice location
211 E 2nd St Fl 1
Clarksdale, MS 38614-4302
Phone: (901) 791-1711
Approximate (ZIP-level) locationGet directions
Mailing address
211 E 2nd St Fl 1
Clarksdale, MS 38614-4302
Registry dates
- Enumerated
- 2025-05-05
- Last updated
- 2025-06-02
- Certified
- 2025-06-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.