OrganizationActive
Perfectly Imperfect Wig Collection
NPI 1578186409 · Prosthetic/Orthotic Supplier · Lexington, MS
Provider details
- NPI number
- 1578186409
- Entity type
- Organization
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Ruggera Russell, Owner(601) 201-5625
Specialties & taxonomies
Suppliers
Practice location
418 Carrollton Ave
Lexington, MS 39095-3212
Phone: (601) 201-5625
Fax: (601) 476-6501
Approximate (ZIP-level) locationGet directions
Mailing address
418 Carrollton Ave
Lexington, MS 39095-3212
Registry dates
- Enumerated
- 2020-05-27
- Last updated
- 2020-05-27
- Certified
- 2020-05-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.