Shackelford, Aundray Terall

Shackelford, Aundray Terall is an sole proprietor health care provider with primary practice located at 105 Rankin Blvd Ext , Tupelo MS 38801-4611. He recently has only one registered license in Other Service Providers / Prosthetics Case Management, which is considered as his primary health care specialty. Shackelford, Aundray Terall can be contacted via phone (662) 260-1239.

Contact Information

Primary practice address
105 Rankin Blvd Ext Tupelo MS 38801-4611
Phone: (662) 260-1239
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Prosthetics Case Management 1744P3200X

Profile Details

NPI number 1023653714
LBN Legal business name Shackelford, Aundray Terall
Credentials PROSTHETICSPECIALIST
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 17th, 2019
Last updated Nov 17th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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