MR. AUNDRAY TERALL SHACKELFORD PROSTHETICSPECIALIST
NPI 1023653714
Specialist - Prosthetics Case Management in Tupelo, MS
- Individual
- Male
- Specialist
- Prosthetics Case Management
About AUNDRAY SHACKELFORD
This page provides the complete NPI Profile along with additional information for Aundray Shackelford, a provider established in Tupelo, Mississippi with a medical specialization in Specialist, focusing in prosthetics case management . The healthcare provider is registered in the NPI registry with number 1023653714 assigned on November 2019. The practitioner's primary taxonomy code is 1744P3200X. The provider is registered as an individual and his NPI record was last updated 7 years ago.
- NPI
- 1023653714 Verify this NPI
- Provider Name
- MR. AUNDRAY TERALL SHACKELFORD PROSTHETICSPECIALIST
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 105 RANKIN BLVD EXT TUPELO, MS 38801
- Location Phone
- (662) 260-1239
- Mailing Address
- 204 CITY POINT RD TUPELO, MS 38801
- Mailing Phone
- (662) 260-1239
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 11-17-2019
- Last Update Date
- 11-17-2019
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Specialist Prosthetics Case Management
- Taxonomy Code
- 1744P3200X
- Type
- Other Service Providers
- Taxonomy Description
- Under the Other Service Providers; Specialist the Prosthetics Case Management definition changed to: A case manager who provides services for patients with prosthetics.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1023653714, enumerated as an "individual" on November 17, 2019.
The provider is located at 105 RANKIN BLVD EXT TUPELO, MS 38801 and the phone number is (662) 260-1239.
Specialist with taxonomy code 1744P3200X and a focus in Prosthetics Case Management.