Advanced Orthotics & Prosthetics Clinic
Organization Active NPI Durable Medical Equipment & Medical Supplies · Laurel, MS
NPI 1053593129 · NPPES record last updated Dec 19, 2007
Key facts
- NPI
- 1053593129
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- Legal business name
- ADVANCED ORTHOTICS & PROSTHETICS CLINIC
- Practice address
- 434 S 13TH Ave
Laurel, MS 39440-4345 - Phone
- (601) 649-0001
- Fax
- (601) 649-0035
- NPI assigned
- Nov 30, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. Matthew Manuel Carrillo I
- Title
- Owner
- Phone
- (601) 649-0001
National Provider Directory
Locations
434 S 13th Ave
Laurel, MS 39440
Phone (601) 649-0001
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Yes |
Addresses
Primary practice location
434 S 13TH Ave
Laurel, MS 39440-4345
Mailing address
PO Box 6501
Laurel, MS 39441-6501
Phone (601) 649-0001
Other providers in Laurel, MS
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- Rose Abney
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- Amy Adams
- Advanced Vision Center PLLC
- Tommaso Agostino
- Donna C Ainsworth
- Mustafa Ismail Hussein Al Batryni
- Rashad N. Ali
All providers in Laurel, MS · Durable Medical Equipment & Medical Supplies in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 19, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.