OrganizationActive
Atalaya Fits Boutique LLC
NPI 1629920004 · Mastectomy Fitter · Georgetown, SC
Provider details
- NPI number
- 1629920004
- Entity type
- Organization
- Primary specialty
- Mastectomy FitterRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Authorized official
- Diona Leak, Owner
Practice location
1530 Highmarket St
Georgetown, SC 29440-3121
Phone: (843) 833-8006
Fax: (843) 833-8014
Mailing address
1768 Calhoun Dr
Georgetown, SC 29440-6522
Registry dates
- Enumerated
- 2026-02-10
- Last updated
- 2026-05-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.