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Organization

MNM ECOMMERCE GROUP, LLC

Active
Other names
c/o Medical Cranial Prosthesis Division
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ANN WILLIAMS (DIRECTOR)
(901) 726-3966
Entity
Organization

Contact information

Practice address
5271 MENDENHALL PARK PL, MEMPHIS, TN 38115-5906
(901) 726-3966
(901) 726-3966
Mailing address
111 S HIGHLAND ST, #179, MEMPHIS, TN 38111-4640

Taxonomy

Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary

Other

Enumeration date
06/18/2013
Last updated
07/12/2013
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