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Organization

FITTING CONCEPTS INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. AMANDA LASHEA WHITE (PRESIDENT)
(662) 841-2476
Entity
Organization

Contact information

Practice address
130 S INDUSTRIAL RD, TUPELO, MS 38801-4614
(662) 841-2476
(662) 841-2476
Mailing address
130 S INDUSTRIAL RD, TUPELO, MS 38801-4618
(662) 841-2476
(662) 841-2476

Taxonomy

Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
041163411
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00040301
PTAN 0448990001
MS
05
00040301
MS
Enumeration date
07/27/2006
Last updated
10/05/2022
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