Healthcare Provider Details

I. General information

NPI: 1750209821
Provider Name (Legal Business Name): THROUGH HIS HANDS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2026
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3701 JOLANE TER SE
CONYERS GA
30094-3874
US

IV. Provider business mailing address

3701 JOLANE TER SE
CONYERS GA
30094-3874
US

V. Phone/Fax

Practice location:
  • Phone: 404-210-2655
  • Fax: 770-785-7937
Mailing address:
  • Phone: 404-210-2655
  • Fax: 770-785-7937

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2081P0010X
TaxonomyPediatric Rehabilitation Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: ETHEL LATARSHA FRAZIER
Title or Position: CEO
Credential:
Phone: 404-210-2655