Organization
ALABAMA ORTHOTICS & PROSTHETICS, INC.
Active
Other names
MISSISSIPPI ORTHOTICS & PROSTHETICS, INC.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BERNICE SWANSON (PRESIDENT)
(256) 536-5625
Entity
Organization
Contact information
Practice address
1501 CLIFF GOOKIN BLVD, TUPELO, MS 38801-6401
(662) 841-9473
(662) 841-1917
Mailing address
1501 CLIFF GOOKIN BLVD, TUPELO, MS 38801-6401
(662) 841-9473
(662) 841-1917
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000040257
—
MS
Enumeration date
09/22/2005
Last updated
01/29/2025
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