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Organization

RITZI RX MEDICAL WIG CLINIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TIFFANY ROBERTS (OWNER)
(601) 462-6480
Entity
Organization

Contact information

Practice address
2120 4TH ST, MERIDIAN, MS 39301-5102
(601) 462-6480
(601) 286-1942
Mailing address
2120 4TH ST, MERIDIAN, MS 39301-5102
(601) 462-6480

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
332BC3200X
Customized Equipment (DME)
335E00000X
Prosthetic/Orthotic Supplier

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
NONE
N/A
Enumeration date
01/23/2020
Last updated
01/23/2020
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