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

MAYA LAKE

Active Sole Proprietor

MAYA LAKE is a Prosthetic/Orthotic Supplier healthcare provider located in ATLANTA, Georgia. NPI 1518675727 is currently active in the NPPES registry. Verify at CMS.

Prosthetic/Orthotic Supplier · ATLANTA, GA

Registration Details

NPI Number
1518675727
Provider Type
Individual
Gender
Female
NPI Issued
Nov 8, 2022 (3.5850760146811 yrs)
Last Updated
Nov 8, 2022
Sole Proprietor
Yes

Practice Information

Address
2053 METROPOLITAN PKWY SW STE A
ATLANTA, GA, 303155926
Browse GA providers · Browse ZIP 30315
Phone
4046003830
Primary Specialty
Prosthetic/Orthotic Supplier
335E00000X

Other Prosthetic/Orthotic Supplier Providers in ATLANTA, GA

Name Credential NPI
MRS. BRANDY NIKIA RESPERT TPR 1053838979
CHRISTEN ABBOTT HAIR LOSS SPECILIST 1780141978
MRS. SHELLYANN TAYLOR 1952031239
PORSCHE' QUINCOLA THOMAS MEDICAL WIG PROVIDER 1497468714
KIRA JACKSON 1407533532
JAMILAH IMANI SCOTT 1326725128
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.