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Anntioneek Marshelle Boston
Prosthetic/Orthotic Supplier in Newnan, Georgia
NPI 1568972578

Anntioneek Marshelle Boston is a Prosthetic/Orthotic Supplier based in Palmetto, GA. Anntioneek Marshelle Boston practices in Newnan, GA. The NPI Number for Anntioneek Marshelle Boston is 1568972578 and holds a License No. (Georgia).

The current practice location address for Anntioneek Marshelle Boston is 1128 Lora Smith Rd, Newnan, GA and can be reached out via phone at 678-744-3440.

Location: 1128 Lora Smith Rd, Newnan, GA, 30268-0733
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568972578
Provider Name
Anntioneek Marshelle Boston
Credential
Provider Entity Type
Individual
Gender
Female
Address
1128 Lora Smith Rd, Newnan, GA, 30268-0733
Phone Number
678-744-3440
Fax Number
Provider Enumeration Date
10/04/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1128 Lora Smith Rd
City
Newnan
State
Georgia
Zip
30265-1924
Phone Number
678-744-3440
Fax Number
person
Provider Business Mailing Address Details
Address
1128 Lora Smith Rd
City
Newnan
State
Georgia
Zip
30265-1924
Phone Number
678-744-3440
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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