Organization
THE CRANIAL PROSTHESIS CENTER OF MISSISSIPPI LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIERRA STEPHENS (OWNER)
(769) 237-0443
Entity
Organization
Contact information
Practice address
717 RICE RD STE G, RIDGELAND, MS 39157-3041
(601) 790-7269
(601) 590-8991
Mailing address
717 RICE RD STE G, RIDGELAND, MS 39157-3041
(601) 790-7269
(601) 590-8991
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
01/11/2021
Last updated
03/24/2022
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