Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

The Mane Physician

Organization Prosthetic/Orthotic Supplier · NPI 1902435118

The Mane Physician is a Prosthetic/Orthotic Supplier in Grenada, Mississippi. Works from 2 locations. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

94 Spain Dr
Grenada, MS 38901
Phone: (769) 487-4787
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 428 Highway 6 E # 217, Batesville, MS 38606-3000 — (769) 487-4187

Specialties & licences

Prosthetic/Orthotic Supplier (primary) Taxonomy 335E00000X

Record details

NPI number1902435118
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Camala Chism — Owner · (769) 487-4187
NPI enumeratedApril 8, 2020
Last updated in NPPESApril 8, 2020
Certification dateApril 8, 2020
Mailing address428 Highway 6 E # 217, Batesville, MS 38606-3000