Anntioneek Boston
Prosthetic/Orthotic Supplier in Lithia Springs, GA. Organization (NPI-2).
NPI number1982143129
StatusActive
Last updated in NPPESFeb 21, 2017
Details
- NPI
- 1982143129
- Entity type
- Organization (NPI-2)
- Legal business name
- Anntioneek Boston
- Organization subpart
- No
- Enumeration date
- Feb 21, 2017
- Last updated
- Feb 21, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 335E00000X | Prosthetic/Orthotic Supplier | – | GA | Yes |
Practice location
870 Crestmark DrSuite 200
Lithia Springs, GA 30122-2665
Phone 678-744-3440
Mailing address
Po Box 733Palmetto, GA 30268-0733
Phone 678-744-3440
Authorized official
Anntioneek Marshelle Boston
Hair Loss Specialist
6787443440
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