Provider Demographics
NPI:1427863653
Name:SINGLETON AND MYRICK INCORPORATED
Entity type:Organization
Organization Name:SINGLETON AND MYRICK INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-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:CPO
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 1:2219 LINE AVE
Practice Address - Street 2:
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71104-2128
Practice Address - Country:US
Practice Address - Phone:601-944-1130
Practice Address - Fax:601-355-7476
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-13
Last Update Date:2025-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier