OrganizationActive
Advanced Foot Care Center
NPI 1497957120 · Primary Podiatric Medicine Podiatrist · Jackson, MS
Provider details
- NPI number
- 1497957120
- Entity type
- Organization
- Primary specialty
- Primary Podiatric Medicine PodiatristPodiatric Medicine & Surgery Service Providers
- Authorized official
- Larry Cruel, Podiatrist Owner
- License
- 80152 (MS)
Practice location
4510 Office Park Dr
Jackson, MS 39206-6016
Phone: (601) 981-3001
Fax: (601) 981-8999
Mailing address
4510 Office Park Dr
Jackson, MS 39206-6016
Registry dates
- Enumerated
- 2007-06-04
- Last updated
- 2008-08-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.