Individual
ZSASHANE MCCORMICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2409 BEMISS RD # C2, VALDOSTA, GA 31602-1936
(470) 210-8132
Mailing address
3030 SCHROER DR, VALDOSTA, GA 31602-4066
(470) 210-8132
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
CO1002764
GA
Other
Enumeration date
09/25/2025
Last updated
09/25/2025
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