person
Dominique Williams
Prosthetic/Orthotic Supplier in Canton, Mississippi
NPI 1023887098

Dominique Williams is a Prosthetic/Orthotic Supplier based in Canton, MS. Dominique Williams practices in Canton, MS. The NPI Number for Dominique Williams is 1023887098 and holds a License No. (Mississippi).

The current practice location address for Dominique Williams is 120 E Center St, Canton, MS and can be reached out via phone at 769-220-2848.

Location: 120 E Center St, Canton, MS, 39046-8708
person
Provider Profile Details
NPI Number
1023887098
Provider Name
Dominique Williams
Credential
Provider Entity Type
Individual
Gender
Female
Address
120 E Center St, Canton, MS, 39046-8708
Phone Number
769-220-2848
Fax Number
Provider Enumeration Date
01/01/2024
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
120 E Center St
City
State
Zip
39046-3733
Phone Number
769-220-2848
Fax Number
person
Provider Business Mailing Address Details
Address
120 E Center St
City
State
Zip
39046-3733
Phone Number
769-220-2848
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
License No.
(Mississippi)
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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