NPI 1629920004

Atalaya Fits Boutique LLC

Organisation Mastectomy Fitter Georgetown, SC

Practice location

Address: 1530 Highmarket St, Georgetown, SC 29440-3121
Phone: (843) 833-8006
Fax: (843) 833-8014
Mailing address: 1768 Calhoun Dr, Georgetown, SC 29440-6522

Authorised official

Name: Diona a Leak
Title: Owner
Phone: (843) 359-2533

Registered specialties (2)

Mastectomy Fitter Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224900000X

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Durable Medical Equipment & Medical Supplies

Suppliers Taxonomy 332B00000X

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Registry record

NPI: 1629920004
Entity type: Organization
NPI issued: 10 Feb 2026
Record last updated: 22 May 2026

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.