IndividualActive
Myisha Gaddy, LPN-RETIRED
NPI 1023776556 · Prosthetist · Rex, GA
Provider details
- NPI number
- 1023776556
- Entity type
- Individual
- Primary specialty
- ProsthetistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LPN-RETIRED
- Sex
- Female
- Sole proprietor
- Yes
- License
- 83495 (NC)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Nursing Service Providers
Practice location
6459 Highway 42
Rex, GA 30273-1718
Phone: (678) 973-5257
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1
Hampton, GA 30228-0001
Registry dates
- Enumerated
- 2021-12-01
- Last updated
- 2021-12-01
- Certified
- 2021-12-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.