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Organization
ATALAYA FITS BOUTIQUE LLC
Active
Organization
ATALAYA FITS BOUTIQUE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIONA A LEAK CMF (OWNER)
(843) 359-2533
Entity
Organization
Contact information
Practice address
1530 HIGHMARKET ST, GEORGETOWN, SC 29440-3121
(843) 833-8006
(843) 833-8014
Mailing address
1768 CALHOUN DR, GEORGETOWN, SC 29440-6522
(843) 359-2533
(843) 833-8014
Taxonomy
Speciality
Code
Description
License number
State
224900000X
Mastectomy Fitter
Primary
—
NULL
224900000X
Mastectomy Fitter
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
Other
Enumeration date
02/10/2026
Last updated
05/22/2026
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