Damon Bagley-Ayres
Podiatrist Prosthetist
777 Lakeland Dr
Jackson
, Mississippi 39216-4611
Damon Bagley-Ayres
Podiatrist Prosthetist
777 Lakeland Dr
Jackson
, Mississippi 39216-4611
(601) 815-4592
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About
Features
Specialties
- Podiatrist
- Prosthetist
Languages spoken
- English
Location
First Address
- Damon Bagley-Ayres
- 777 Lakeland Dr
- Jackson, MS
- Zip : 39216-4611
- Fax : (601) 815-4592
- Phone : (601) 815-4844
Second Address
- Damon Bagley-Ayres
- 777 Lakeland Dr
- Jackson, MS
- Zip : 39216-4611
- Fax : (601) 815-4592
- Phone : (601) 815-4844
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 213E00000X | Podiatrist | ||
| N | 222Z00000X | Podiatrist | ||
| Y | 224P00000X | Prosthetist |
National Provider Identifier
| NPI | 1497126775 |
|---|---|
| Provider Name | Damon Bagley-Ayres |
| First Address | Jackson, MS 39216-4611 |
| Second Address | Jackson, MS 39216-4611 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/10/2015 |
| Last Update Date | 09/06/2016 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.