Southern Brace & Billing LLC
NPI #1982884029 in Brandon, Mississippi
Provider Information
- NPI Number
- 1982884029
- Entity Type
- Organization
- Organization Name
- Southern Brace & Billing LLC
- Primary Specialty
- Prosthetic/Orthotic Supplier
- Enumeration Date
- Nov 6, 2007
- Last Updated
- Nov 6, 2007
Practice Location
- Address
- 1700 W GOVERNMENT ST
- Address 2
- BUILDING A SUITE C
- City
- Brandon
- State
- Mississippi
- ZIP Code
- 39042-2417
- Phone
- (601) 906-9396
Authorized Official
- Name
- MR. ANTHONY DERRICK SCOGGINS
- Title
- PRESIDENT
- Phone
- (601) 906-9396
Specialties & Taxonomy Codes
| Specialty |
|---|
| Prosthetic/Orthotic Supplier |
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