Anglean Barber
Prosthetic/Orthotic Supplier in Ellenwood, GA. Individual provider (NPI-1).
NPI number1093554610
StatusActive
Last updated in NPPESMay 22, 2024
Details
- NPI
- 1093554610
- Entity type
- Individual (NPI-1)
- Name
- Ms. Anglean Barber
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 22, 2024
- Certification date
- May 22, 2024
- Last updated
- May 22, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 335E00000X | Prosthetic/Orthotic Supplier | – | – | Yes |
Practice location
5726 Blackberry RowEllenwood, GA 30294-4917
Phone 423-313-4408
Mailing address
1602 Garden Lake DrRiverdale, GA 30296-3354
Phone 423-313-4408
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