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Matthew Carrillo, OWNER
NPI 1356386288 · on the registry since 2006 · sole proprietor
Practice
- Address
- 434 S 13th Ave
Laurel, MS 39440 - Phone
- (601) 649-0001
- Fax
- (601) 649-0035
- Organisation at this address
- Advanced Orthotics & Prosthetics Clinic
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- Prosthetics Case Management
1744P3200X
- Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-11-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi