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Salithia Keiana Mcduffie-moon
Prosthetics Case Management in Roswell, Georgia
NPI 1679203848

Salithia Keiana Mcduffie-moon is a Prosthetics Case Management based in Roswell, GA and is specialized in Prosthetics Case Management. Salithia Keiana Mcduffie-moon practices in Roswell, GA. The NPI Number for Salithia Keiana Mcduffie-moon is 1679203848 and holds a License No. (Georgia).

The current practice location address for Salithia Keiana Mcduffie-moon is 811 Chattahoochee Cir, Roswell, GA and can be reached out via phone at 470-791-6969.

Location: 811 Chattahoochee Cir, Roswell, GA, 30075-5109
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679203848
Provider Name
Salithia Keiana Mcduffie-moon
Credential
Provider Entity Type
Individual
Gender
Female
Address
811 Chattahoochee Cir, Roswell, GA, 30075-5109
Phone Number
470-791-6969
Fax Number
Provider Enumeration Date
06/12/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CO124536 01 GA MASTER COSMETOLOGIST
institution
Provider Business Practice Location Address Details
Address
811 Chattahoochee Cir
City
Roswell
State
Georgia
Zip
30075-5109
Phone Number
470-791-6969
Fax Number
person
Provider Business Mailing Address Details
Address
811 Chattahoochee Cir
City
Roswell
State
Georgia
Zip
30075-5109
Phone Number
470-791-6969
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
Prosthetics Case Management
Taxonomy
1744P3200X
License No.
()
Definition
Definition to come...
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