Organization
AMPUCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK ANTHONY HESTER C.P. (CERTIFIED PROSTHETIST)
(601) 259-7233
Entity
Organization
Contact information
Practice address
300 HIGHLAND BLVD, SUITE A, NATCHEZ, MS 39120-4600
(601) 442-5503
(601) 442-5504
Mailing address
300 HIGHLAND BLVD, SUITE A, NATCHEZ, MS 39120-4600
(601) 442-5503
(601) 442-5504
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08826559
—
MS
Enumeration date
01/22/2007
Last updated
04/20/2008
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