NPI 1194221663

Angela Slade

Practitioner Prosthetist Atlanta, GA

Practice location

Address: 3645 Peachtree Rd NE APT 302, Atlanta, GA 30319-1275
Phone: (404) 734-3688

Registered specialties

Prosthetist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X Licence CO088832 (GA)

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Registry record

NPI: 1194221663
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Apr 2018
Record last updated: 3 Apr 2018

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.