Individual
KENISHA LASHUN GARRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2015 MONTREAL RD, TUCKER, GA 30084-5224
(404) 861-8009
Mailing address
5904 SEABRIGHT LN, ATLANTA, GA 30349-7535
(404) 861-8009
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
—
GA
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Enumeration date
08/17/2020
Last updated
08/17/2020
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