Individual
MISS SIGOURNE LATASHIA CRUMBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1401 LINCOLN COURT AVE NE, BROOKHAVEN, GA 30329-1826
(770) 376-0675
Mailing address
1401 LINCOLN COURT AVE NE, BROOKHAVEN, GA 30329-1826
(770) 376-0675
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
04/18/2022
Last updated
04/18/2022
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