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Yolanda Polk
Prosthetic/Orthotic Supplier in Fayetteville, Georgia
NPI 1255018016

Yolanda Polk is a Prosthetic/Orthotic Supplier based in Atlanta, GA. Yolanda Polk practices in Fayetteville, GA. The NPI Number for Yolanda Polk is 1255018016 and holds a License No. (Georgia).

The current practice location address for Yolanda Polk is 115 Promenade Pkwy Ste A, Fayetteville, GA and can be reached out via phone at 504-914-1416.

Location: 115 Promenade Pkwy Ste A, Fayetteville, GA, 30331-9498
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1255018016
Provider Name
Yolanda Polk
Credential
Provider Entity Type
Individual
Gender
Female
Address
115 Promenade Pkwy Ste A, Fayetteville, GA, 30331-9498
Phone Number
504-914-1416
Fax Number
Provider Enumeration Date
07/03/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
115 Promenade Pkwy Ste A
City
Fayetteville
State
Georgia
Zip
30214-7713
Phone Number
504-914-1416
Fax Number
person
Provider Business Mailing Address Details
Address
115 Promenade Pkwy Ste A
City
Fayetteville
State
Georgia
Zip
30214-7713
Phone Number
504-914-1416
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
()
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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