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Shadae Renee Medical Wigs
Prosthetic/Orthotic Supplier in Roswell, Georgia
NPI 1447860150

Shadae Renee Medical Wigs is a Prosthetic/Orthotic Supplier based in Roswell, GA. Shadae Renee Medical Wigs practices in Roswell, GA. The NPI Number for Shadae Renee Medical Wigs is 1447860150 and holds a License No. (Georgia).

The current practice location address for Shadae Renee Medical Wigs is 10719 Alpharetta Hwy # 1792, Roswell, GA and can be reached out via phone at 678-362-6469 and via fax at 678-325-2731.

Location: 10719 Alpharetta Hwy # 1792, Roswell, GA, 30076-2432
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1447860150
Provider Name
Shadae Renee Medical Wigs
Credential
Provider Entity Type
Organization
Address
10719 Alpharetta Hwy # 1792, Roswell, GA, 30076-2432
Phone Number
678-362-6469
Fax Number
678-325-2731
Provider Enumeration Date
08/06/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
10719 Alpharetta Hwy # 1792
City
Roswell
State
Georgia
Zip
30076-2432
Phone Number
678-362-6469
Fax Number
678-325-2731
person
Provider Business Mailing Address Details
Address
10719 Alpharetta Hwy # 1792
City
Roswell
State
Georgia
Zip
30076-2432
Phone Number
678-362-6469
Fax Number
678-325-2731
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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