Organization
TRINITY PROSTHETIC & ORTHOTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ISAIAH V WILLIAMS SR. (OWNER)
(601) 573-5488
Entity
Organization
Contact information
Practice address
1110 CLAY ST, VICKSBURG, MS 39183-2912
(601) 573-5488
Mailing address
PO BOX 11303, JACKSON, MS 39283-1303
(601) 573-5488
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
MS
Other
Enumeration date
10/27/2014
Last updated
10/27/2014
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