IndividualActive
Chantay Mardner, SPECIALIST
NPI 1144978610 · Prosthetics Case Management · Dunwoody, GA
Provider details
- NPI number
- 1144978610
- Entity type
- Individual
- Primary specialty
- Prosthetics Case ManagementOther Service Providers
- Credential
- SPECIALIST
- Sex
- Female
- Sole proprietor
- Yes
- License
- CO119586 (GA)
Specialties & taxonomies
Other Service Providers
Practice location
4531 Olde Perimeter Way Ste 101
Dunwoody, GA 30346-4208
Phone: (404) 717-2714
Approximate (ZIP-level) locationGet directions
Mailing address
115 Arbor Lake Dr
Covington, GA 30016-0288
Registry dates
- Enumerated
- 2022-03-14
- Last updated
- 2022-03-14
- Certified
- 2022-03-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.