Individual provider · Type 1 NPI

Tiara Janae Gandy

Prosthetic/Orthotic Supplier · Atlanta, GA

NPI number 1417763301 Active

Practice location

4600 Roswell Rd, Unit D-130 Loft 17
Atlanta, GA 30342

Call (404) 941-5598 Map

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.

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About NPI 1417763301

Tiara Janae Gandy's National Provider Identifier is 1417763301, issued on Dec 5, 2024. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Atlanta, GA. The record was last updated on Dec 5, 2024.