| NPI | 1154253664 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA CARR Cranial Prothesis Specialist 601-540-6672 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2026-05-30 |
| Last Update Date | 2026-06-11 |