NPI 1972075117

Alan Medford

Practitioner Orthotic Fitter Atlanta, GA

Practice location

Address: 1020 Angelo CT NE, Atlanta, GA 30319-1042
Phone: (404) 245-9540

Registered specialties

Orthotic Fitter Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225000000X

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Registry record

NPI: 1972075117
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Dec 2018
Record last updated: 28 Dec 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.