NPI 1043738362

Mone Ancrum

Practitioner Prosthetic/Orthotic Supplier Lawrenceville, GA

Practice location

Address: 4245 Windale Dr, Lawrenceville, GA 30044-6869
Phone: (678) 777-2665
Fax: (404) 393-0686

Registered specialties

Prosthetic/Orthotic Supplier Primary

Suppliers Taxonomy 335E00000X

Other Prosthetic/Orthotic Supplier providers in Georgia →

Registry record

NPI: 1043738362
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Sep 2017
Record last updated: 21 Jul 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.