NPI 1023776556

Myisha Gaddy, LPNRETIRED

Practitioner Prosthetist Rex, GA

Practice location

Address: 6459 Highway 42, Rex, GA 30273-1718
Phone: (678) 973-5257
Mailing address: PO Box 1, Hampton, GA 30228-0001

Registered specialties (2)

Prosthetist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X

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Licensed Practical Nurse

Nursing Service Providers Taxonomy 164W00000X Licence 83495 (NC)

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Registry record

NPI: 1023776556
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 Dec 2021
Record last updated: 1 Dec 2021

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.