NPI 1124957907

Chinyere Sullivan

Practitioner Prosthetic/Orthotic Supplier Atlanta, GA

Practice location

Address: 935 Marietta St NW APT 23, Atlanta, GA 30318-0528
Phone: (678) 768-0496
Mailing address: 159 Grandiflora Dr, McDonough, GA 30253-4690

Registered specialties

Prosthetic/Orthotic Supplier Primary

Suppliers Taxonomy 335E00000X

Other Prosthetic/Orthotic Supplier providers in Georgia →

Registry record

NPI: 1124957907
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 May 2026
Record last updated: 18 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.