Pinnacle Prosthetics, Inc.

Organization Active NPI Prosthetic/Orthotic Supplier · Bruce, MS

NPI 1043323561 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1043323561
Entity type
Organization (NPI type 2)
Primary specialty
Prosthetic/Orthotic Supplier 335E00000X
Legal business name
PINNACLE PROSTHETICS, INC.
Practice address
225 E Calhoun St
Bruce, MS 38915-9341
Phone
(662) 983-2500
Fax
(662) 983-2500
NPI assigned
Aug 17, 2006
Organization subpart
No

Authorized official

Name
Mr. Jimmy Scott Swanson, CP
Title
Owner/President
Phone
(662) 983-2500

National Provider Directory

Locations

225 E Calhoun St
Bruce, MS 38915
Phone (662) 983-2500

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Yes

Addresses

Primary practice location

225 E Calhoun St
Bruce, MS 38915-9341

Mailing address

225 E Calhoun St
Bruce, MS 38915-9341
Phone (662) 983-2500

Other identifiers

IdentifierTypeStateIssuer
03777044MedicaidMS

Other providers in Bruce, MS

All providers in Bruce, MS · Prosthetic/Orthotic Supplier in Mississippi

Sources for this page

Verify at the official NPI Registry.