Individual
SHAMIKA R HAIRSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1321 WYNFIELD TRCE, PEACHTREE CORNERS, GA 30092-4562
(347) 352-5954
Mailing address
1321 WYNFIELD TRCE, PEACHTREE CORNERS, GA 30092-4562
(347) 352-5954
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
06/03/2024
Last updated
06/03/2024
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