Organization
ALABAMA ORTHOTICS & PROSTHETICS, INC.
Active
Other names
MISSISSIPPI ORTHOTICS & PROSTHETICS,INC.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JERRY O SWANSON C.P.LP (PRESIDENT)
(256) 536-5625
Entity
Organization
Contact information
Practice address
2411 S LAMAR BLVD, OXFORD, MS 38655-5348
(662) 281-1007
(662) 234-7448
Mailing address
2411 S LAMAR BLVD, OXFORD, MS 38655-5348
(662) 281-1007
(662) 234-7448
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
MS
Other
Enumeration date
02/06/2007
Last updated
07/31/2012
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