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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MISS SIGOURNE LATASHIA CRUMBY

Active Sole Proprietor

MISS SIGOURNE LATASHIA CRUMBY is a Prosthetic/Orthotic Supplier healthcare provider located in BROOKHAVEN, Georgia. NPI 1124761036 is currently active in the NPPES registry. Verify at CMS.

Prosthetic/Orthotic Supplier · BROOKHAVEN, GA

Registration Details

NPI Number
1124761036
Provider Type
Individual
Gender
Female
NPI Issued
Apr 18, 2022 (4.3441171493883 yrs)
Last Updated
Apr 18, 2022
Sole Proprietor
Yes

Practice Information

Address
1401 LINCOLN COURT AVE NE
BROOKHAVEN, GA, 303291826
Browse GA providers · Browse ZIP 30329
Phone
7703760675
Primary Specialty
Prosthetic/Orthotic Supplier
335E00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.