Angela Slade
Prosthetist in Atlanta, GA. Individual provider (NPI-1).
NPI number1194221663
StatusActive
Last updated in NPPESApr 3, 2018
Details
- NPI
- 1194221663
- Entity type
- Individual (NPI-1)
- Name
- Angela Slade
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 3, 2018
- Last updated
- Apr 3, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 224P00000X | Prosthetist | CO088832 | GA | Yes |
Practice location
3645 Peachtree Rd Ne Apt 302Atlanta, GA 30319-1275
Phone 404-734-3688
Mailing address
3645 Peachtree Rd Ne Apt 302Atlanta, GA 30319-1275
Phone 404-734-3688
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