Organization
SPEARS PROSTHETICS AND ORTHOTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICAH BRITT SPEARS FAAOP (PRESIDENT)
(901) 604-5939
Entity
Organization
Contact information
Practice address
1157 MADISON AVE, MEMPHIS, TN 38104-2202
(901) 276-5960
Mailing address
722 N WHITE STATION RD, MEMPHIS, TN 38122-4422
(901) 763-6999
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
09/12/2007
Last updated
09/12/2007
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