NPI 1306217013

Sharmele West-Smith, MASTECTOMYFITTER

Practitioner Mastectomy Fitter Tucker, GA

Practice location

Address: 4229 1st Ave STE E, Tucker, GA 30084-4469
Phone: (678) 515-7523

Registered specialties (2)

Mastectomy Fitter Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224900000X

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Prosthetics Case Management

Other Service Providers Taxonomy 1744P3200X Licence CO098641 (GA)

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Registry record

NPI: 1306217013
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 Oct 2015
Record last updated: 21 Jul 2022

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.