NPI 1013605716

Wigsbycinnamon

Organisation Prosthetic/Orthotic Supplier Atlanta, GA

Practice location

Address: 1851 Chamblee Tucker Rd STE 115, Atlanta, GA 30341-2737
Phone: (702) 664-9875
Mailing address: 1303 Oglethorpe Dr NE, Brookhaven, GA 30319-2785

Authorised official

Name: Jazzreeal Jones
Title: Owner
Phone: (702) 664-9875

Registered specialties

Prosthetic/Orthotic Supplier Primary

Suppliers Taxonomy 335E00000X

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Registry record

NPI: 1013605716
Entity type: Organization
NPI issued: 1 May 2023
Record last updated: 1 May 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.