DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MAYA LAKE

MEDICARE:   MAYA  LAKE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1335E00000XProsthetic/Orthotic Supplier

General Provider Information

NPI Number : 1518675727
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAYA LAKE
Provider Business Mailing Address
First Line : 2973 HEADLAND DR SW STE D
Second Line :
City : ATLANTA
State : GA
Zip : 30311-5434
Country : US
Telephone Number : 404-600-3830
Fax Number :
Provider Business Practice Location Address
First Line : 2053 METROPOLITAN PKWY SW STE A
Second Line :
City : ATLANTA
State : GA
Zip : 30315-5926
Country : US
Telephone Number : 404-600-3830
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/08/2022
Last Update Date : 11/08/2022

Similar Medicare Providers

1225067952 — M.D.MATTHEWS CORPORATION
Practice Location Address:
2027 METROPOLITAN PKWY SW
ATLANTA, GA
30315-5926
Practice Phone: 404-559-3435
Practice Fax: 404-559-1990
1770516676 — M.D. MATTHEWS CORPORATION
Practice Location Address:
2027 METROPOLITAN PKWY SW
ATLANTA, GA
30315-5926
Practice Phone: 404-559-3435
Practice Fax: 404-559-1990
1700810827 — M.D. MATTHEWS CORPORATION
Practice Location Address:
2027 METROPOLITAN PKWY SW
ATLANTA, GA
30315-5926
Practice Phone: 404-559-3435
Practice Fax: 404-559-1990
1518991611 — M.D. MATTHEWS CORPORATION
Practice Location Address:
2027 METROPOLITAN PKWY SW
ATLANTA, GA
30315-5926
Practice Phone: 404-559-3435
Practice Fax: 404-559-1990
1871518357 — DR. VERNICE REENE ROBINSON DC
Practice Location Address:
2085 METROPOLITAN PKWY SW
ATLANTA, GA
30315-5926
Practice Phone: 404-505-7500
Practice Fax: 404-505-1238
1235151390 — M.D. MATTHEWS CORPORATION
Practice Location Address:
2027 METROPOLITAN PKWY SW
ATLANTA, GA
30315-5926
Practice Phone: 404-559-3435
Practice Fax: 404-559-1990
1164614194 — PRIME COMMUNITY HEALTH GROUP
Practice Location Address:
2085 METROPOLITAN PKWY SW
ATLANTA, GA
30315-5926
Practice Phone: 404-505-7500
Practice Fax: 404-505-1238

Directions to “ MAYA LAKE ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.