Individual provider · Type 1 NPI
Yolanda Polk
Prosthetic/Orthotic Supplier · Fayetteville, GA
Practice location
115 Promenade Pkwy Ste A
Fayetteville, GA 30214-7713
Mailing address
2613 Bluestone Dr SW
Atlanta, GA 30331-9498
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Prosthetic/Orthotic Supplier Primary | 335E00000X | None 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
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About NPI 1255018016
Yolanda Polk's National Provider Identifier is 1255018016, issued on Jul 3, 2023. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Fayetteville, GA. The record was last updated on Jul 3, 2023.