Individual provider · Type 1 NPI
Stacie Gullatt
Mastectomy Fitter · Decatur, GA
NPI number
1942852884
Active
Practice location
2948 Laguna Dr
Decatur, GA 30032-3526
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mastectomy Fitter Primary | 224900000X | None listed |
Mastectomy Fitter: An individual trained in the fitting and adjusting of breast prostheses and management of post-mastectomy prostheses services.
About NPI 1942852884
Stacie Gullatt's National Provider Identifier is 1942852884, issued on Jul 11, 2019. The primary taxonomy on file is Mastectomy Fitter (224900000X), and the practice location is in Decatur, GA. The record was last updated on Jul 11, 2019.