Individual
MAKAYLA SHANIECE KINLAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5268 MIRANDA WAY, POWDER SPRINGS, GA 30127-8414
(470) 786-0753
Mailing address
5268 MIRANDA WAY, POWDER SPRINGS, GA 30127-8414
(470) 786-0753
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
CO135443
GA
Other
Enumeration date
03/03/2019
Last updated
03/03/2019
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