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WILSON BRACE AND LIMB COMPANY INC

Suppliers Prosthetic/Orthotic Supplier

Provider NPI: 1932138047

Organization Information:
Organization Name:  WILSON BRACE AND LIMB COMPANY INC
Organization is not Subpart
Authorized Official:  JIMMY  WILSON  PRESIDENT  601-982-9060

Practice Location:
500J E WOODROW WILSON AVE  JACKSON, MS 39216-4538 US
Tel: 601-982-9060  Fax: 601-362-9911

Business Mailing Address:
500J E WOODROW WILSON AVE  JACKSON, MS 39216-4538 US
Tel: 601-982-9060  Fax: 601-362-9911

NPI Information:
NPI: 1932138047
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y335E00000XSuppliers
Prosthetic/Orthotic Supplier
DECPO02517

Other Provider Identifiers:

IssuerNumberStateType
00040660MS05



American Medical Association 2012 taxonomy code information

Code: 335E00000X

Type:

Classification:



Definition:



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