WJL Podiatry Clinic LLC

Primary specialty

Podiatric Clinic/CenterTaxonomy code 261QP1100X

License

80062 Issued in MS

Legal business name

WJL PODIATRY CLINIC LLC

Practice address

953 North St
Jackson, MS 39202-2615

Phone

(601) 355-0026

Fax

(601) 355-0069

NPI assigned

Jul 21, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Willie Lewis, DPM

Title

Doctor

Phone

(601) 355-0026

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1469059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490659200000",
    "number": "1063865343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "953 NORTH ST",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392022615",
            "telephone_number": "601-355-0026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "953 NORTH ST",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392022615",
            "telephone_number": "601-355-0026",
            "fax_number": "601-355-0069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WJL PODIATRY CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-21",
        "last_updated": "2017-03-28",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "WILLIE",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "601-355-0026",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "MS",
            "license": "80062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• With Grace Home Care
• Sara Withrow, NP
• Amanda Leigh Witt, M.D.
• Jade Elizabeth Witt
• Blair Bush Wiygul, MD
• WL Aron MD PA
• John D Wofford Jr., M.D.
• John David Wofford III, MD
• Marion R. Wofford, MD
• Ryan Edward Wolf, MD

• Podiatric Clinic/Center in Jackson, MS
• Providers in Jackson, MS by specialty
• Podiatric Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.