THE MANE PHYSICIAN

GRENADA, MS
NPI1902435118
Entity TypeOrganization
Authorized ContactCAMALA CHISM
Owner
769-487-4187
Organization Subpart ?No
Primary Taxonomy335E00000X Prosthetic/Orthotic Supplier
Enumeration Date2020-04-08
Last Update Date2020-04-08
Business Address
THE MANE PHYSICIAN
94 SPAIN DRIVE
GRENADA, MS 38901
Phone number: 769-487-4787
Mailing Address
THE MANE PHYSICIAN
428 HIGHWAY 6 E # 217
BATESVILLE, MS 38606-3000
Phone number: 662-262-5711
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