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Organization

ADVANCED HAND SPECIALISTS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHUCK MCMILLAN (OWNER)
(985) 674-4170
Entity
Organization

Contact information

Practice address
594 ASBURY DR, SUITE A, MANDEVILLE, LA 70471-4101
(985) 674-4170
(985) 674-4172
Mailing address
594 ASBURY DR, SUITE A, MANDEVILLE, LA 70471-4101
(985) 674-4170
(985) 674-4172

Taxonomy

Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
Z10781
LA
335E00000X
Prosthetic/Orthotic Supplier
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1114944634
AHS CLINIC NPI NUMBER
LA
01
1598952640
NPI - DAVID MYERS
LA
01
18412884404
HYMEL'S NPI NUMBER
LA
01
1972591006
SMITH'S NPI NUMBER
LA
Enumeration date
01/26/2007
Last updated
04/23/2012
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