Individual
TIARA JANAE GANDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4600 ROSWELL RD, UNIT D-130 LOFT 17, ATLANTA, GA 30342
(404) 941-5598
Mailing address
4600 ROSWELL RD, UNIT D-130 LOFT 17, ATLANTA, GA 30342
(404) 941-5598
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
GA
Other
Enumeration date
12/05/2024
Last updated
12/05/2024
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