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Amanda Williamson
Prosthetic/Orthotic Supplier in Jackson, Mississippi
NPI 1104598135

Amanda Williamson is a Prosthetic/Orthotic Supplier based in Jackson, MS. Amanda Williamson practices in Jackson, MS. The NPI Number for Amanda Williamson is 1104598135 and holds a License No. (Mississippi).

The current practice location address for Amanda Williamson is 115 N State St, Jackson, MS and can be reached out via phone at 601-918-4499.

Location: 115 N State St, Jackson, MS, 39201-2811
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104598135
Provider Name
Amanda Williamson
Credential
Provider Entity Type
Individual
Gender
Female
Address
115 N State St, Jackson, MS, 39201-2811
Phone Number
601-918-4499
Fax Number
Provider Enumeration Date
09/28/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
115 N State St
City
Jackson
State
Mississippi
Zip
39201-2811
Phone Number
601-918-4499
Fax Number
person
Provider Business Mailing Address Details
Address
115 N State St
City
Jackson
State
Mississippi
Zip
39201-2811
Phone Number
601-918-4499
Fax Number
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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