Individual
KEKA HERON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3845 N DRUID HILLS RD STE 208, DECATUR, GA 30033-3005
(404) 427-5843
Mailing address
2779 KEYSTONE AVE, LITHONIA, GA 30058-4112
(404) 427-5843
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
GA
Other
Enumeration date
04/03/2023
Last updated
04/03/2023
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