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Mone Ancrum
Prosthetic/Orthotic Supplier in Lawrenceville, Georgia
NPI 1043738362

Mone Ancrum is a Prosthetic/Orthotic Supplier based in Lawrenceville, GA. Mone Ancrum practices in Lawrenceville, GA. The NPI Number for Mone Ancrum is 1043738362 and holds a License No. (Georgia).

The current practice location address for Mone Ancrum is 4245 Windale Dr, Lawrenceville, GA and can be reached out via phone at 678-777-2665 and via fax at 404-393-0686.

Location: 4245 Windale Dr, Lawrenceville, GA, 30044-6869
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043738362
Provider Name
Mone Ancrum
Credential
Provider Entity Type
Individual
Gender
Female
Address
4245 Windale Dr, Lawrenceville, GA, 30044-6869
Phone Number
678-777-2665
Fax Number
404-393-0686
Provider Enumeration Date
09/07/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4245 Windale Dr
City
Lawrenceville
State
Georgia
Zip
30044-6869
Phone Number
678-777-2665
Fax Number
404-393-0686
person
Provider Business Mailing Address Details
Address
4245 Windale Dr
City
Lawrenceville
State
Georgia
Zip
30044-6869
Phone Number
678-777-2665
Fax Number
404-393-0686
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
()
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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