Organization · NPI-2
Mississippi Artificial Limb And Brace LLC
Prosthetic/Orthotic Supplier · Hattiesburg, MS
NPI number1972610897
StatusActive
Last updated in NPPESSep 11, 2025
Details
- NPI
- 1972610897
- Entity type
- Organization (NPI-2)
- Legal business name
- Mississippi Artificial Limb And Brace LLC
- Organization subpart
- No
- Enumeration date
- Aug 24, 2006
- Last updated
- Sep 11, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 335E00000X | Prosthetic/Orthotic Supplier | 42 | AL | Yes |
| 335E00000X | Prosthetic/Orthotic Supplier | 41 | AL |
Practice location
6086 Hwy 49 SouthHattiesburg, MS 39401
Phone 601-579-7430 · Fax 601-579-8656
Mailing address
305 S 4th StGadsden, AL 35901-5212
Phone 256-549-0064 · Fax 256-549-0002
Authorized official
Ricky Partain
Member
2565490064
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