Provider Demographics
NPI:1780439646
Name:SINGLETON AND MYRICK INCORPORATED
Entity type:Organization
Organization Name:SINGLETON AND MYRICK INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:
Authorized Official - Last Name:SINGLETON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:601-944-1130
Mailing Address - Street 1:2089 LAKELAND DR
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:MS
Mailing Address - Zip Code:39216-5010
Mailing Address - Country:US
Mailing Address - Phone:601-944-1130
Mailing Address - Fax:601-355-7476
Practice Address - Street 1:8110 SUMMA AVE
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70809-3419
Practice Address - Country:US
Practice Address - Phone:601-944-1130
Practice Address - Fax:601-355-7476
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SINGLETON AND MYRICK INCORPORATED
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-04-23
Last Update Date:2024-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier