person
Kanishia Gordon, HAIRREPLSPECIALIST
Prosthetist in Atlanta, Georgia
NPI 1912545393

Kanishia Gordon is a Prosthetist based in Stone Mountain, GA. Kanishia Gordon practices in Atlanta, GA and has the professional credentials of HAIRREPLSPECIALIST. The NPI Number for Kanishia Gordon is 1912545393 and holds a License No. (Georgia).

The current practice location address for Kanishia Gordon is 519 Memorial Dr Se Ste 209, Atlanta, GA and can be reached out via phone at 404-836-3845.

Location: 519 Memorial Dr Se Ste 209, Atlanta, GA, 30088-4438
person
Provider Profile Details
NPI Number
1912545393
Provider Name
Kanishia Gordon
Credential
HAIRREPLSPECIALIST
Provider Entity Type
Individual
Gender
Female
Address
519 Memorial Dr Se Ste 209, Atlanta, GA, 30088-4438
Phone Number
404-836-3845
Fax Number
Provider Enumeration Date
12/16/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
519 Memorial Dr Se Ste 209
City
State
Zip
30312-2286
Phone Number
404-836-3845
Fax Number
person
Provider Business Mailing Address Details
Address
519 Memorial Dr Se Ste 209
City
State
Zip
30312-2286
Phone Number
404-836-3845
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Prosthetist
Speciality
-
Taxonomy
License No.
(Georgia)
Definition
A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.
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