NPI
La Miss Diabetic Shoes
NPI 1023478435
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Type
- Organization
- Enumeration date
- 2016-02-26
- Last updated
- 2016-02-26
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Specialties
Licenses
- License MS
- 80145
Location
- Practice location
- 2200 Highway 61 N, Suite 3400
- City
- Vicksburg MS
- Postal code
- 39183-8246
- Phone
- (601) 883-3342
Organization contact
- Name
- Stephanie Phelan
- Title
- owner/provider
- Phone
- (601) 883-3342
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Vicksburg, MS. 999 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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