Organization
ANDERSON BRACE & LIMB PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK WESLEY ANDERSON CPO (OWNER)
(731) 286-6006
Entity
Organization
Contact information
Practice address
569 SKYLINE DR STE 201, JACKSON, TN 38301-3933
(731) 300-3698
(731) 300-0742
Mailing address
300 E PARKVIEW ST, DYERSBURG, TN 38024-3110
(731) 286-6006
(731) 286-5570
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
87
TN
Other
Enumeration date
03/22/2018
Last updated
03/22/2018
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