Provider Demographics
NPI:1346456944
Name:NEXTIMEPROSTHETICS
Entity Type:Organization
Organization Name:NEXTIMEPROSTHETICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TERESA
Authorized Official - Middle Name:L
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:601-346-8376
Mailing Address - Street 1:133 E SYKES RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:JACKSON
Mailing Address - State:MS
Mailing Address - Zip Code:39212-4988
Mailing Address - Country:US
Mailing Address - Phone:769-798-5813
Mailing Address - Fax:601-346-8378
Practice Address - Street 1:133 E SYKES RD
Practice Address - Street 2:SUITE B
Practice Address - City:JACKSON
Practice Address - State:MS
Practice Address - Zip Code:39212-4988
Practice Address - Country:US
Practice Address - Phone:769-798-5813
Practice Address - Fax:601-346-8378
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies