Organization
FIRST CHOICE ORTHOTICS & PROSTHETICS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES WILLIAMS CPO FAAOP (CEO /PRESIDENT)
(601) 502-2222
Entity
Organization
Contact information
Practice address
1717 RAYMOND RD, JACKSON, MS 39204-4125
(601) 502-2222
(601) 502-2244
Mailing address
PO BOX 7384, JACKSON, MS 39282-7384
(601) 502-2222
(601) 502-2244
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
025383878
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00440869
—
MS
Enumeration date
07/13/2006
Last updated
11/21/2007
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