Maya Lake
Maya Lake is a Prosthetic/Orthotic Supplier in Atlanta, Georgia. Practices as a sole proprietor. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
2053 Metropolitan Pkwy SW Ste AAtlanta, GA 30315-5926
Phone: (404) 600-3830
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Prosthetic/Orthotic Supplier (primary) | Taxonomy 335E00000X |
|---|
Record details
| NPI number | 1518675727 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | November 8, 2022 |
| Last updated in NPPES | November 8, 2022 |
| Certification date | November 8, 2022 |
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