# ATALAYA FITS BOUTIQUE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629920004
- **Authorized official:** DIONA A LEAK CMF (OWNER)
- **Authorized official phone:** (843) 359-2533

## Contact information

- **Practice address:** 1530 HIGHMARKET ST, GEORGETOWN, SC 29440-3121
- **Practice address phone:** (843) 833-8006
- **Practice address fax:** (843) 833-8014
- **Mailing address:** 1768 CALHOUN DR, GEORGETOWN, SC 29440-6522
- **Mailing address phone:** (843) 359-2533
- **Mailing address fax:** (843) 833-8014

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 224900000X | Mastectomy Fitter | — | NULL | Yes |
| 224900000X | Mastectomy Fitter | — | — | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |

## Other

- **Enumeration date:** 02/10/2026
- **Last updated:** 05/22/2026