Provider Demographics
NPI:1457562175
Name:JANAY L HARPER DPM PLLC
Entity Type:Organization
Organization Name:JANAY L HARPER DPM PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JANAY
Authorized Official - Middle Name:L
Authorized Official - Last Name:HARPER
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:601-855-4820
Mailing Address - Street 1:156 RIVER OAKS DR STE B
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:MS
Mailing Address - Zip Code:39046-5376
Mailing Address - Country:US
Mailing Address - Phone:601-855-4820
Mailing Address - Fax:601-855-7991
Practice Address - Street 1:156 RIVER OAKS DR STE B
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:MS
Practice Address - Zip Code:39046-5376
Practice Address - Country:US
Practice Address - Phone:601-855-4820
Practice Address - Fax:601-855-7991
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-24
Last Update Date:2015-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS80186213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS02280263Medicaid
MS04135059Medicaid
MS426133132COtherBLUE CROSS PROVIDER NUMBE
MS02280263Medicaid