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Nelson Wilson, Iv
Prosthetic/Orthotic Supplier in Clinton, Mississippi
NPI 1912141516

Nelson Wilson, Iv is a Prosthetic/Orthotic Supplier based in Clinton, MS. Nelson Wilson, Iv practices in Clinton, MS. The NPI Number for Nelson Wilson, Iv is 1912141516 and holds a License No. C36423 (Mississippi).

The current practice location address for Nelson Wilson, Iv is 801 E Northside Dr, Clinton, MS and can be reached out via phone at 601-924-2888 and via fax at 601-924-2885.

Location: 801 E Northside Dr, Clinton, MS, 39056-3663
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1912141516
Provider Name
Nelson Wilson, Iv
Credential
Provider Entity Type
Organization
Address
801 E Northside Dr, Clinton, MS, 39056-3663
Phone Number
601-924-2888
Fax Number
601-924-2885
Provider Enumeration Date
04/27/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
801 E Northside Dr
City
Clinton
State
Mississippi
Zip
39056-3663
Phone Number
601-924-2888
Fax Number
601-924-2885
person
Provider Business Mailing Address Details
Address
801 E Northside Dr
City
Clinton
State
Mississippi
Zip
39056-3663
Phone Number
601-924-2888
Fax Number
601-924-2885
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
C36423 (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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