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THE MANE PHYSICIAN
NPI 1902435118
Prosthetic/Orthotic Supplier in Grenada, MS

Active since April 08, 2020
94 SPAIN DRIVE, GRENADA, MS 38901(769) 487-4787 Get Directions Write a Review

NPPES record last updated: April 8, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About The Mane Physician NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THE MANE PHYSICIAN (NPI 1902435118) is a healthcare organization registered as a prosthetic/orthotic supplier in Grenada, Mississippi and active in the NPI registry since April 2020. The organization maintains a secondary practice location in Batesville and lists Camala Chism, Owner, as its authorized official.

NPPES Registry Identity

NPI1902435118
Entity TypeOrganization
Primary Taxonomy335E00000X
Legal Business NameTHE MANE PHYSICIAN
Location Address94 SPAIN DRIVEGrenada, MS 38901
Mailing Address428 Highway 6 E # 217Batesville, MS 38606-3000 · (662) 262-5711
Phone(769) 487-4787
Organization SubpartNo
Authorized OfficialCamala ChismOwner · (769) 487-4187
Enumeration DateApril 8, 2020
NPPES CertifiedApril 8, 2020
✔ NPI 1902435118 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyProsthetic/Orthotic SupplierSuppliers
Taxonomy Code335E00000X
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.
94 SPAIN DRIVE, Grenada, MS 38901
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Secondary Practice Location 1

Location 1428 Highway 6 E # 217Batesville, MS 38606-3000 · Phone (769) 487-4187 · Fax (662) 262-5711

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is The Mane Physician's NPI number?

The NPI number for The Mane Physician is 1902435118. It was assigned to this organization in the NPPES registry on April 8, 2020.

Where is The Mane Physician located?

The Mane Physician is located at 94 Spain Drive, Grenada, MS 38901. The listed phone number is (769) 487-4787.

What is The Mane Physician's specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

When was this NPI record last updated?

The NPPES record for The Mane Physician was last updated on April 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.