Individual
AMY R ADCOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPO
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 815-4844
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 815-4844
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
CO005156
MS
Other
Enumeration date
06/24/2014
Last updated
06/24/2014
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