NPI 1205450954

Monique D Gay, HAIRLOSSSPECIALIST

Practitioner Prosthetist Marietta, GA

Practice location

Address: 2651 Favor Rd SW # 1g06, Marietta, GA 30060-5241
Phone: (678) 468-9702
Mailing address: PO Box 1244, Smyrna, GA 30081-1244

Registered specialties

Prosthetist Primary

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

Other Prosthetist providers in Georgia →

Registry record

NPI: 1205450954
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 May 2020
Record last updated: 28 May 2020

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.