Celeste Grace Adote, DT

Individual provider Active NPI Prosthetist · Woodstock, GA

NPI 1346743622 · NPPES record last updated Mar 13, 2018

Key facts

NPI
1346743622
Entity type
Individual (NPI type 1)
Primary specialty
Prosthetist 224P00000X
Practice address
8590 Main St
Woodstock, GA 30188-4846
Phone
(404) 395-6763
Fax
(770) 928-7164
NPI assigned
Mar 13, 2018
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetist 224P00000X Yes

Addresses

Primary practice location

8590 Main St
Woodstock, GA 30188-4846

Mailing address

208 Windcrest CT
Woodstock, GA 30188-4576
Phone (404) 395-6763

Other providers in Woodstock, GA

All providers in Woodstock, GA · Prosthetist in Georgia

Sources for this page

Verify at the official NPI Registry.