Organization
UNITED CARE PROSTHETICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOUGLAS SANTRELL BANKS (PROSTHETIST/OWNER)
(601) 856-8360
Entity
Organization
Contact information
Practice address
199 CHARMANT PL, SUITE 4, RIDGELAND, MS 39157-4358
(601) 856-8360
(601) 856-8827
Mailing address
199 CHARMANT PL, SUITE 4, RIDGELAND, MS 39157-4358
(601) 856-8360
(601) 856-8827
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
C26406
MS
Other
Enumeration date
06/05/2014
Last updated
08/19/2024
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