Individual
ANGELA SLADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3645 PEACHTREE RD NE APT 302, ATLANTA, GA 30319-1275
(404) 734-3688
Mailing address
3645 PEACHTREE RD NE APT 302, ATLANTA, GA 30319-1275
(404) 734-3688
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
CO088832
GA
Other
Enumeration date
04/03/2018
Last updated
04/03/2018
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