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Jackson Brace And Limb Company

Prosthetic/Orthotic Supplier in Jackson, MS. Organization (NPI-2).

NPI number1992870950
StatusActive
Last updated in NPPESNov 7, 2025

Details

NPI
1992870950
Entity type
Organization (NPI-2)
Legal business name
Jackson Brace And Limb Company
Organization subpart
No
Enumeration date
Nov 22, 2006
Certification date
Nov 7, 2025
Last updated
Nov 7, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
335E00000X Prosthetic/Orthotic Supplier––Yes

Practice location

1320 N State St
Jackson, MS 39202-2003

Phone 601-353-2477 · Fax 601-355-4100

Mailing address

1320 N State St
Jackson, MS 39202-2096

Phone 601-353-2477 · Fax 601-355-4100

Authorized official

Micki Corley
Office Manager
6013532477

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