Southern Prosthetic Care LLC
NPI #1205352127 in Picayune, Mississippi
Provider Information
- NPI Number
- 1205352127
- Entity Type
- Organization
- Organization Name
- Southern Prosthetic Care LLC
- Primary Specialty
- Prosthetic/Orthotic Supplier
- Enumeration Date
- Aug 22, 2017
- Last Updated
- Jul 21, 2022
Practice Location
- Address
- 4201 HIGHWAY 11 N STE D
- City
- Picayune
- State
- Mississippi
- ZIP Code
- 39466
- Phone
- (228) 216-0528
Authorized Official
- Name
- WILLIAM J KENNY, CP
- Title
- OWNER
- Phone
- (228) 216-0528
Specialties & Taxonomy Codes
| Specialty |
|---|
| Prosthetic/Orthotic Supplier |
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