NPI 1235722968
Teniqua Moffatte
Practice location
- Address
- 1688 Jefferson Ln, Douglasville, GA 30134-3249
- Phone
- (470) 848-2679
Registered specialties
Orthotic Fitter
Primary
Registry record
- NPI
- 1235722968
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 13 Feb 2021
- Record last updated
- 13 Feb 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.