Individual
ANNTIONEEK MARSHELLE BOSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1128 LORA SMITH RD, NEWNAN, GA 30265-1924
(678) 744-3440
Mailing address
PO BOX 733, PALMETTO, GA 30268-0733
(678) 744-3440
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
10/04/2017
Last updated
10/04/2017
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