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Southern Prosthetic Care Llc
Prosthetic/Orthotic Supplier in Gulfport, Mississippi
NPI 1063050862

Southern Prosthetic Care Llc is a Prosthetic/Orthotic Supplier based in Gulfport, MS. Southern Prosthetic Care Llc practices in Gulfport, MS. The NPI Number for Southern Prosthetic Care Llc is 1063050862 and holds a License No. (Mississippi).

The current practice location address for Southern Prosthetic Care Llc is 1308 44Th Ave, Gulfport, MS and can be reached out via phone at 228-265-7847 and via fax at 228-265-7876. You can also correspond with Southern Prosthetic Care Llc through the mailing address at 1308 44TH AVE, GULFPORT, MS - 39501-2552 (mailing address contact number: 228-265-7847).

Location: 1308 44Th Ave, Gulfport, MS, 39501-2552
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1063050862
Provider Name
Southern Prosthetic Care Llc
Credential
Provider Entity Type
Organization
Address
1308 44Th Ave, Gulfport, MS, 39501-2552
Phone Number
228-265-7847
Fax Number
228-265-7876
Provider Enumeration Date
12/12/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1308 44Th Ave
City
Gulfport
State
Mississippi
Zip
39501-2552
Phone Number
228-265-7847
Fax Number
228-265-7876
person
Provider Business Mailing Address Details
Address
1308 44Th Ave
City
Gulfport
State
Mississippi
Zip
39501-2552
Phone Number
228-265-7847
Fax Number
228-265-7876
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
()
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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