Organization
SUNRISE PROSTHETICS AND ORTHOTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLIE JAMES ADAMS JR. (OWNER)
(601) 414-0032
Entity
Organization
Contact information
Practice address
1221 N WEST ST, JACKSON, MS 39202-2018
(601) 414-0032
Mailing address
1221 N WEST ST, JACKSON, MS 39202-2018
(601) 414-0032
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0527106
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03959826
—
MS
Enumeration date
12/13/2006
Last updated
08/22/2020
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