Individual
MRS. LANDA SHYNIKA SILAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
72 STALLION WAY, HIRAM, GA 30141-2348
(404) 903-8751
Mailing address
72 STALLION WAY, HIRAM, GA 30141-2348
(404) 903-8751
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
COA012765
GA
Other
Enumeration date
11/23/2020
Last updated
11/23/2020
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