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Contact Information

MONE ANCRUM
4245 WINDALE DR
LAWRENCEVILLE, GA30044-6869
 Phone: 678-777-2665
 Fax: 404-393-0686
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Prosthetic/Orthotic Supplier

335E00000X 51 Medical Supply Company with Orthotist
Indicates primary specialty

NPI Profile & details for

NPI Number 1043738362
Entity Organization
Organization subpart 1 Not specified
Enumeration date 09/07/2017
Last updated 07/21/2022 - About 4 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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