Organization
PRECISION PROSTHETICS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BONNI WILKE (OFFICE MANAGER)
(901) 682-1006
Entity
Organization
Contact information
Practice address
1505 S PERKINS RD, MEMPHIS, TN 38117-6530
(901) 682-1006
(901) 682-5775
Mailing address
1505 S PERKINS RD, MEMPHIS, TN 38117-6530
(901) 682-1006
(901) 682-5775
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0112460
BCBS OF TN
TN
05
—
3556346
—
TN
01
—
81650
NORTHWOOD/ NPN
TN
Enumeration date
06/01/2005
Last updated
04/22/2013
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