MEDICARE: ROBERT DARRIN HURST DPM WEST TENNESSEE FOOT CLINIC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies	80185	MS
2	213ES0103X	Foot & Ankle Surgery Podiatrist

General Provider Information

NPI Number	:	1265601876
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROBERT DARRIN HURST DPM WEST TENNESSEE FOOT CLINIC

Provider Business Mailing Address
First Line	:	129 PRATT DR
Second Line	:
City	:	CORINTH
State	:	MS
Zip	:	38834-6026
Country	:	US
Telephone Number	:	662-286-1406
Fax Number	:	662-286-1408

Provider Business Practice Location Address
First Line	:	129 PRATT DR
Second Line	:
City	:	CORINTH
State	:	MS
Zip	:	38834-6026
Country	:	US
Telephone Number	:	662-286-1406
Fax Number	:	662-286-1408

Authorized Official
Title or Position	:	OWNER
Name	:	ROBERT DARRIN HURST
Credential	:
Telephone Number	:	662-286-1406

Provider Enumeration Date	:	02/27/2008
Last Update Date	:	03/20/2025

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