Organization
R&C MEDICAL WIG SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEKIYA DAVIS (OWNER)
(662) 303-7176
Entity
Organization
Contact information
Practice address
460 BRIARWOOD DR STE 400, JACKSON, MS 39206-3062
(662) 390-7670
(662) 262-5850
Mailing address
460 BRIARWOOD DR STE 400, JACKSON, MS 39206-3062
(662) 390-7670
(662) 262-5850
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
04/26/2020
Last updated
04/26/2020
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