IndividualActive
Chinyere Sullivan
NPI 1124957907 · Prosthetic/Orthotic Supplier · Atlanta, GA
Provider details
- NPI number
- 1124957907
- Entity type
- Individual
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Sex
- Female
- Sole proprietor
- Yes
Practice location
935 Marietta St Nw Apt 23
Atlanta, GA 30318-0528
Phone: (678) 768-0496
Mailing address
159 Grandiflora Dr
Mcdonough, GA 30253-4690
Registry dates
- Enumerated
- 2026-05-18
- Last updated
- 2026-05-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.