NPI 1255768180

State of Mississippi-University of Mississippi Medical Center

Organisation Prosthetic/Orthotic Supplier Jackson, MS

Practice location

Address: 2500 North State Street, Jackson, MS 39216
Phone: (601) 984-4113

Authorised official

Name: Kevin Cook
Title: Ceo
Phone: (601) 984-4113

Registered specialties

Prosthetic/Orthotic Supplier Primary

Suppliers Taxonomy 335E00000X

Other Prosthetic/Orthotic Supplier providers in Mississippi →

Registry record

NPI: 1255768180
Entity type: Organization
NPI issued: 10 Oct 2013
Record last updated: 10 Oct 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.