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Mid State Artificial Limb Co, Inc
Prosthetic/Orthotic Supplier in Jackson, Mississippi
NPI 1184718132

Mid State Artificial Limb Co, Inc is a Prosthetic/Orthotic Supplier based in Jackson, MS. Mid State Artificial Limb Co, Inc practices in Jackson, MS. The NPI Number for Mid State Artificial Limb Co, Inc is 1184718132 and holds a License No. (Mississippi).

The current practice location address for Mid State Artificial Limb Co, Inc is 4455 Medgar Evers Blvd, Jackson, MS and can be reached out via phone at 601-981-2229 and via fax at 601-362-2129. You can also correspond with Mid State Artificial Limb Co, Inc through the mailing address at PO BOX 31092, JACKSON, MS - 39286-1092 (mailing address contact number: 601-981-2229).

Location: 4455 Medgar Evers Blvd, Jackson, MS, 39286-1092
institution
Provider Profile Details
NPI Number
1184718132
Provider Name
Mid State Artificial Limb Co, Inc
Credential
Provider Entity Type
Organization
Address
4455 Medgar Evers Blvd, Jackson, MS, 39286-1092
Phone Number
601-981-2229
Fax Number
601-362-2129
Provider Enumeration Date
10/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00040105 05 MS
institution
Provider Business Practice Location Address Details
Address
4455 Medgar Evers Blvd
City
State
Zip
39213-5202
Phone Number
601-981-2229
Fax Number
601-362-2129
person
Provider Business Mailing Address Details
Address
Po Box 31092
City
State
Zip
39286-1092
Phone Number
601-981-2229
Fax Number
601-362-2129
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
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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