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The Mane Physician
Prosthetic/Orthotic Supplier in Grenada, Mississippi
NPI 1902435118

The Mane Physician is a Prosthetic/Orthotic Supplier based in Batesville, MS. The Mane Physician practices in Grenada, MS. The NPI Number for The Mane Physician is 1902435118 and holds a License No. (Mississippi).

The current practice location address for The Mane Physician is 94 Spain Drive, Grenada, MS and can be reached out via phone at 769-487-4787.

Location: 94 Spain Drive, Grenada, MS, 38606-3000
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1902435118
Provider Name
The Mane Physician
Credential
Provider Entity Type
Organization
Address
94 Spain Drive, Grenada, MS, 38606-3000
Phone Number
769-487-4787
Fax Number
Provider Enumeration Date
04/08/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
94 Spain Drive
City
Grenada
State
Mississippi
Zip
38901
Phone Number
769-487-4787
Fax Number
person
Provider Business Mailing Address Details
Address
94 Spain Drive
City
Grenada
State
Mississippi
Zip
38901
Phone Number
769-487-4787
Fax Number
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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