NPI 1194383398

Candice Williams

Practitioner Prosthetics Case Management Tupelo, MS

Practice location

Address: 820 N Gloster St, Tupelo, MS 38804-1949
Phone: (662) 910-8391
Mailing address: 377 Huntington Pl, Tupelo, MS 38801-7965

Registered specialties (2)

Prosthetics Case Management Primary

Other Service Providers Taxonomy 1744P3200X Licence 512672 (MS)

Other Specialist providers in Mississippi →

Prosthetist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X

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Registry record

NPI: 1194383398
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Jun 2019
Record last updated: 3 Jun 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.