Organization
SOUTHERN BRACE & BILLING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY DERRICK SCOGGINS (PRESIDENT)
(601) 906-9396
Entity
Organization
Contact information
Practice address
1700 W GOVERNMENT ST, BUILDING A SUITE C, BRANDON, MS 39042-2417
(601) 906-9396
Mailing address
1700 W GOVERNMENT ST, BUILDING A SUITE C, BRANDON, MS 39042-2417
(601) 906-9396
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
APPLIED FOR
MS
Other
Enumeration date
11/06/2007
Last updated
11/06/2007
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