Individual provider · Type 1 NPI
Raytillia R. Balam, MASTER BARBER & COSM
Prosthetics Case Management · Brunswick, GA
NPI number
1477929933
Active
Practice location
299 Water Crest Dr
Brunswick, GA 31523-6108
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Prosthetics Case Management Primary | 1744P3200X | CO126396 (GA) |
| Reflexologist | 173C00000X | CO126396 (GA) |
Prosthetics Case Management: A case manager who provides services for patients with prosthetics.
About NPI 1477929933
Raytillia R. Balam, MASTER BARBER & COSM's National Provider Identifier is 1477929933, issued on Aug 18, 2015. The primary taxonomy on file is Prosthetics Case Management (1744P3200X), and the practice location is in Brunswick, GA. The record was last updated on Feb 6, 2016.