Individual provider · Type 1 NPI

Mone Ancrum

Prosthetic/Orthotic Supplier · Lawrenceville, GA

NPI number 1043738362 Active

Practice location

4245 Windale Dr
Lawrenceville, GA 30044-6869

Call (678) 777-2665 Map

Fax (404) 393-0686

Specialties and licenses

TaxonomyCodeLicense
Prosthetic/Orthotic Supplier Primary 335E00000XNone listed

Prosthetic/Orthotic Supplier: 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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About NPI 1043738362

Mone Ancrum's National Provider Identifier is 1043738362, issued on Sep 7, 2017. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Lawrenceville, GA. The record was last updated on Jul 21, 2022.