Organization
PROCARE PROSTHETICS AND ORTHOTICS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN BRET LEE CPO (PRESIDENT)
(601) 664-7004
Entity
Organization
Contact information
Practice address
1050 N FLOWOOD DR, C-1, FLOWOOD, MS 39232-9738
(601) 664-7004
(601) 664-7099
Mailing address
1050 N FLOWOOD DR, SUITE C-1, FLOWOOD, MS 39232-9738
(601) 664-7004
(601) 664-7099
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
061187399
MS
335E00000X
Prosthetic/Orthotic Supplier
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—
Other
Enumeration date
08/08/2007
Last updated
03/11/2020
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