United Care Prosthetics Llc

NPI 1669885836 - Prosthetic/Orthotic Supplier - 335E00000X

NPI Details
NPI 1669885836
Enumeration Date 06/05/2014
Last Updated 06/12/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name DOUGLAS SANTRELL DOUGLAS
Position PROSTHETIST/OWNER
Phone (601) 856-8360
Fax (601) 856-8827
Practice Location
199 CHARMANT PL
SUITE 4
RIDGELAND MS, 39157-4358, US
Phone (601) 856-8360
Fax (601) 856-8827
Business Location
199 CHARMANT PL
SUITE 4
RIDGELAND MS, 39157-4358, US
Phone (601) 856-8360
Fax (601) 856-8827
Toxanomy
Taxonomy Code 335E00000X
License State Mississippi
License Number C26406
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According to our database, United Care Prosthetics Llc NPI is 1669885836, taxonomy code is 335E00000X and license number is C26406, license state is located at Mississippi. United Care Prosthetics Llc physically located at 199 Charmant Pl, Ridgeland MS, 39157-4358. NPI Number 1033115704 has the healthcare provider type.

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1669885836 NPI number is provided on an as is basis without warranty of any kind. 1669885836 is maintained by the National Plan & Provider Enumeration System. The contents of United Care Prosthetics Llc are for informational purposes only.