Individual provider · Type 1 NPI

Chinyere Sullivan

Prosthetic/Orthotic Supplier · Atlanta, GA

NPI number 1124957907 Active

Practice location

935 Marietta St NW Apt 23
Atlanta, GA 30318-0528

Call (678) 768-0496 Map

Mailing address

159 Grandiflora Dr
Mcdonough, GA 30253-4690

Specialties and licenses

TaxonomyCodeLicense
Prosthetic/Orthotic Supplier Primary 335E00000XNone listed

Prosthetic/Orthotic Supplier: An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.

Another provider at this address

Other prosthetic/orthotic supplier providers in Atlanta

See all in Atlanta →

About NPI 1124957907

Chinyere Sullivan's National Provider Identifier is 1124957907, issued on May 18, 2026. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Atlanta, GA. The record was last updated on May 18, 2026.