Organization
PROSTHETIC ONE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARCUS T BAKER CPO/L (PRESIDENT)
(901) 795-1776
Entity
Organization
Contact information
Practice address
5950 HUGH HOWELL RD STE C, STONE MOUNTAIN, GA 30087-2440
(770) 674-0223
(770) 674-0221
Mailing address
5950 HUGH HOWELL RD STE C, STONE MOUNTAIN, GA 30087-2440
(770) 674-0223
(770) 674-0221
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
11/28/2025
Last updated
11/28/2025
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