Organization
PEACH FITS,INC
Active
Organization
PEACH FITS,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREL KEY TAYLOR (MASTECTOMY FITTER)
(678) 960-6914
Entity
Organization
Contact information
Practice address
285 GLYNN STREET SOUTH, SUITES 102 AND 104, FAYETTEVILLE, GA 30214
(678) 960-6914
Mailing address
285 GLYNN STREET SOUTH, SUITES 102 AND 104, FAYETTEVILLE, GA 30214
(678) 960-6914
Taxonomy
Speciality
Code
Description
License number
State
224900000X
Mastectomy Fitter
Primary
—
—
Other
Enumeration date
01/10/2020
Last updated
01/10/2020
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