Individual
TAMEKA B PHELPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2604 HOLLOW PNE, CONYERS, GA 30094-3961
(678) 994-3523
Mailing address
2604 HOLLOW PNE, CONYERS, GA 30094-3961
(678) 994-3523
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
04/27/2024
Last updated
04/27/2024
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