OrganizationActive
Delta Foot Clinics, Inc
NPI 1962689042 · Podiatric Clinic/Center · Vicksburg, MS
Provider details
- NPI number
- 1962689042
- Entity type
- Organization
- Primary specialty
- Podiatric Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Brian Shockley, President/Owner
- License
- 80142 (MS)
Practice location
1814 Mission 66
Vicksburg, MS 39180-3710
Phone: (601) 638-7520
Fax: (601) 638-7541
Mailing address
1814 Mission 66
Vicksburg, MS 39180-3710
Registry dates
- Enumerated
- 2008-01-30
- Last updated
- 2011-01-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.