Individual
ALAN MEDFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1020 ANGELO CT NE, ATLANTA, GA 30319-1042
(404) 245-9540
Mailing address
1020 ANGELO CT NE, ATLANTA, GA 30319-1042
Taxonomy
Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
Primary
—
—
Other
Enumeration date
12/28/2018
Last updated
12/28/2018
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