Organization
MANE ATTRACTION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHETEKA BUCKNER (OWNER)
(615) 513-7054
Entity
Organization
Contact information
Practice address
331 GALLATIN PIKE S STE 9, MADISON, TN 37115-4053
(615) 513-7054
Mailing address
331 GALLATIN PIKE S STE 9, MADISON, TN 37115-4053
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
01/15/2021
Last updated
03/11/2021
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