Search › Mississippi › 213E00000X
Brian Shockley, D P M
NPI 1477662229 · on the registry since 2006
Practice
- Address
- 1814 Mission 66
Vicksburg, MS 39180 - Phone
- (601) 638-7520
- Fax
- (601) 638-7541
- Organisation at this address
- Delta Foot Clinics, Inc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 213E00000X
213E00000X
- Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-01-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi