NPI 1679916183

Zachary Douglas Myrick

Practitioner Orthotist Jackson, MS

Practice location

Address: 2 Old River Pl STE D, Jackson, MS 39202-3435
Phone: (601) 944-1130

Registered specialties

Orthotist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X

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Registry record

NPI: 1679916183
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Apr 2013
Record last updated: 15 Apr 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.