Individual provider · Type 1 NPI

Tiffany Malloy

Prosthetic/Orthotic Supplier · Atlanta, GA

NPI number 1811792708 Active

Practice location

5 Concourse Pkwy Ste 3000
Atlanta, GA 30328-7106

Call (917) 500-9330 Map

Mailing address

240 Halah Cir
Atlanta, GA 30328-5241

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.

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About NPI 1811792708

Tiffany Malloy's National Provider Identifier is 1811792708, issued on Feb 15, 2025. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Atlanta, GA. The record was last updated on Feb 15, 2025.