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Stacie Gullatt
Mastectomy Fitter in Decatur, Georgia
NPI 1942852884

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. You can also correspond with Stacie Gullatt through the mailing address at 2948 LAGUNA DR, DECATUR, GA - 30032-3526 (mailing address contact number: ).

Location: 2948 Laguna Dr, Decatur, GA, 30032-3526
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
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
institution
Provider Business Practice Location Address Details
Address
2948 Laguna Dr
City
Decatur
State
Georgia
Zip
30032-3526
Phone Number
404-513-6170
Fax Number
person
Provider Business Mailing Address Details
Address
2948 Laguna Dr
City
Decatur
State
Georgia
Zip
30032-3526
Phone Number
404-513-6170
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Mastectomy Fitter
Speciality
-
Taxonomy
224900000X
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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