Organization
BERRY'S PROSTHETICS & ORTHOTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CALVIN BERRY LPO.BOCOP.CP. (PROSTHETIST/ORTHOTIST)
(769) 251-0555
Entity
Organization
Contact information
Practice address
132 BYRAM BUSINESS CENTER DR, BYRAM, MS 39272-9636
(769) 251-0555
(769) 251-0555
Mailing address
132 BYRAM BUSINESS CENTER DR, BYRAM, MS 39272-9636
(769) 251-0555
(769) 251-0555
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
124
AL
335E00000X
Prosthetic/Orthotic Supplier
CP00376
AL
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
815580436A
—
GA
05
—
815580436B
—
GA
Enumeration date
08/30/2006
Last updated
07/06/2023
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