Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Raytillia R. Balam, MASTERBARBERCOSM

Individual provider Prosthetics Case Management · NPI 1477929933

Raytillia R. Balam, MASTERBARBERCOSM is a Prosthetics Case Management in Brunswick, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2015
Specialties on file
2

Practice location Address checks out

299 Water Crest Dr
Brunswick, GA 31523-6108
Phone: (912) 290-9898
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthetics Case Management (primary) Taxonomy 1744P3200X · Licence CO126396 (GA)
Reflexologist Taxonomy 173C00000X · Licence CO126396 (GA)

Record details

NPI number1477929933
Entity typeIndividual (Type 1)
GenderFemale
Credentials MASTERBARBERCOSM
Sole proprietorYes
NPI enumeratedAugust 18, 2015
Last updated in NPPESFebruary 6, 2016