Individual provider · Type 1 NPI
Aundray Terall Shackelford, PROSTHETICSPECIALIST
Prosthetics Case Management · Tupelo, MS
NPI number
1023653714
Active
Practice location
105 Rankin Blvd Ext
Tupelo, MS 38801-4611
Mailing address
204 City Point Rd
Tupelo, MS 38801-8637
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Prosthetics Case Management Primary | 1744P3200X | None listed |
Prosthetics Case Management: A case manager who provides services for patients with prosthetics.
Other prosthetics case management providers in Tupelo
About NPI 1023653714
Aundray Terall Shackelford, PROSTHETICSPECIALIST's National Provider Identifier is 1023653714, issued on Nov 17, 2019. The primary taxonomy on file is Prosthetics Case Management (1744P3200X), and the practice location is in Tupelo, MS. The record was last updated on Nov 17, 2019.