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Southern Prosthetic Care Llc
Prosthetic/Orthotic Supplier in Picayune, Mississippi
NPI 1205352127

Southern Prosthetic Care Llc is a Prosthetic/Orthotic Supplier based in Picayune, MS. Southern Prosthetic Care Llc practices in Picayune, MS. The NPI Number for Southern Prosthetic Care Llc is 1205352127 and holds a License No. (Mississippi).

The current practice location address for Southern Prosthetic Care Llc is 4201 Highway 11 N Ste D, Picayune, MS and can be reached out via phone at 228-216-0528 and via fax at 769-242-2556.

Location: 4201 Highway 11 N Ste D, Picayune, MS, 39466-2014
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1205352127
Provider Name
Southern Prosthetic Care Llc
Credential
Provider Entity Type
Organization
Address
4201 Highway 11 N Ste D, Picayune, MS, 39466-2014
Phone Number
228-216-0528
Fax Number
769-242-2556
Provider Enumeration Date
08/22/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4201 Highway 11 N Ste D
City
Picayune
State
Mississippi
Zip
39466
Phone Number
228-216-0528
Fax Number
769-242-2556
person
Provider Business Mailing Address Details
Address
4201 Highway 11 N Ste D
City
Picayune
State
Mississippi
Zip
39466
Phone Number
228-216-0528
Fax Number
769-242-2556
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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