Mrs. Myisha Gaddy
Prosthetist
6459 Highway 42
Rex
, Georgia 30273-1718
Mrs. Myisha Gaddy
Prosthetist
6459 Highway 42
Rex
, Georgia 30273-1718
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About
Features
Specialties
- Prosthetist
Languages spoken
- English
Location
First Address
- Mrs. Myisha Gaddy
- Po Box 1
- Hampton, GA
- Zip : 30228-0001
- Phone :
Second Address
- Mrs. Myisha Gaddy
- 6459 Highway 42
- Rex, GA
- Zip : 30273-1718
- Phone : (678) 973-5257
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 224P00000X | Prosthetist |
National Provider Identifier
| NPI | 1023776556 |
|---|---|
| Provider Name | Mrs. Myisha Gaddy |
| First Address | Hampton, GA 30228-0001 |
| Second Address | Rex, GA 30273-1718 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/12/2021 |
| Last Update Date | 01/12/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.