SearchGeorgiaProsthetic/Orthotic Supplier

Kira Jackson

NPI 1407533532 · on the registry since 2023 · sole proprietor

Practice

Address
1055 Howell Mill Rd
Ste 8082 Pmb 1050
Atlanta, GA 30318
Phone
(478) 336-6169

Registry record

Primary taxonomy
Prosthetic/Orthotic Supplier
335E00000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-06-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia