Mr. Aundray Terall Shackelford, PROSTHETICSPECIALIST
Mr. Aundray Terall Shackelford, PROSTHETICSPECIALIST is a Prosthetics Case Management in Tupelo, Mississippi. Practices as a sole proprietor. Registered with an NPI since 2019.
- In the registry since
- 2019
Practice location Address checks out
105 Rankin Blvd ExtTupelo, MS 38801-4611
Phone: (662) 260-1239
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Specialties & licences
| Prosthetics Case Management (primary) | Taxonomy 1744P3200X |
|---|
Record details
| NPI number | 1023653714 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PROSTHETICSPECIALIST |
| Sole proprietor | Yes |
| NPI enumerated | November 17, 2019 |
| Last updated in NPPES | November 17, 2019 |
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