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NPI 1053593129

OrganizationActive

Advanced Orthotics & Prosthetics Clinic

NPI 1053593129 · Durable Medical Equipment & Medical Supplies · Laurel, MS

Provider details

NPI number: 1053593129
Entity type: Organization
Primary specialty: Durable Medical Equipment & Medical SuppliesSuppliers
Authorized official: Matthew Carrillo, Owner

Practice location

434 S 13th Ave

Laurel, MS 39440-4345

Phone: (601) 649-0001

Fax: (601) 649-0035

More MS providers

Mailing address

Po Box 6501

Laurel, MS 39441-6501

Registry dates

Enumerated: 2007-11-30
Last updated: 2007-12-19

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Advanced Orthotics & Prosthetics Clinic — NPI 1053593129, Laurel, MS | NPI Central