Stacie Gullatt is a Mastectomy Fitter based in Decatur, GA. Stacie Gullatt practices in Decatur, GA. The NPI Number for Stacie Gullatt is 1942852884 and holds a License No. (Georgia).
The current practice location address for Stacie Gullatt is 2948 Laguna Dr, Decatur, GA and can be reached out via phone at 404-513-6170.
Location: 2948 Laguna Dr, Decatur, GA, 30032-3526
Provider Profile Details
NPI Number
1942852884
Provider Name
Stacie Gullatt
Credential
Provider Entity Type
Individual
Gender
Female
Address
2948 Laguna Dr, Decatur, GA, 30032-3526
Phone Number
404-513-6170
Fax Number
Provider Enumeration Date
07/11/2019
Last Update Date
03/10/2024
Provider Business Practice Location Address Details
Address
2948 Laguna Dr
City
State
Zip
30032-3526
Phone Number
404-513-6170
Fax Number
Provider Business Mailing Address Details
Address
2948 Laguna Dr
City
State
Zip
30032-3526
Phone Number
404-513-6170
Fax Number
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Mastectomy Fitter
Speciality
-
Taxonomy
License No.
()
Definition
An individual trained in the fitting and adjusting of breast prostheses and management of post-mastectomy prostheses services.
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