Organization
INNOVATIVE PROSTHETICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. J CURT PATTON III CPO (MANAGER)
(228) 313-7667
Entity
Organization
Contact information
Practice address
6086 U S HIGHWAY 49, SUITE B, HATTIESBURG, MS 39401-7340
(228) 313-7667
Mailing address
6086 U S HIGHWAY 49, SUITE B, HATTIESBURG, MS 39401-7340
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
10/02/2009
Last updated
11/23/2009
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