NPI 1023653714

Aundray Terall Shackelford, PROSTHETICSPECIALIST

Practitioner Prosthetics Case Management Tupelo, MS

Practice location

Address: 105 Rankin Blvd Ext, Tupelo, MS 38801-4611
Phone: (662) 260-1239
Mailing address: 204 City Point Rd, Tupelo, MS 38801-8637

Registered specialties

Prosthetics Case Management Primary

Other Service Providers Taxonomy 1744P3200X

Other Specialist providers in Mississippi →

Registry record

NPI: 1023653714
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Nov 2019
Record last updated: 17 Nov 2019

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.