Individual
ZACHARY DOUGLAS MYRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2 OLD RIVER PL STE D, JACKSON, MS 39202-3435
(601) 944-1130
Mailing address
2 OLD RIVER PL STE D, JACKSON, MS 39202-3435
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
—
—
Other
Enumeration date
04/15/2013
Last updated
04/15/2013
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