Individual
JAMILAH IMANI SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
335 NELSON ST SW, ATLANTA, GA 30313-1354
(510) 967-2957
Mailing address
2851 STONE BRIDGE TRL SW, CONYERS, GA 30094-5671
(510) 967-2957
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
07/03/2023
Last updated
10/31/2023
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