NPI 1104598135

Amanda Williamson

Practitioner Prosthetic/Orthotic Supplier Jackson, MS

Practice location

Address: 115 N State St, Jackson, MS 39201-2811
Phone: (601) 918-4499

Registered specialties

Prosthetic/Orthotic Supplier Primary

Suppliers Taxonomy 335E00000X

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Registry record

NPI: 1104598135
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Sep 2021
Record last updated: 28 Sep 2021

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.