Most Relevant Information
Provider Data
| NPI Number: | 1003556242 |
| Provider Name: | JULIAN ALEXANDER ANGELES |
| Entity Type: | Individual |
| Taxonomy Code: | 224P00000X |
| Specialty: | Prosthetist |
| License Number: | 206 |
Most Important Dates
| Enumeration Date: | 03/29/2022 |
| Last Updated: | 03/29/2022 |
Provider Practice Location
61 WHITCHER ST NE STE 2120
MARIETTA
GA
300601180
Practice Location Phone/Fax
| Phone: | 7704230595 |
| Fax: | 6783915055 |
Provider Mailing Location
61 WHITCHER ST NE STE 2120
MARIETTA
GA
300601180
Provider Mailing Phone/Fax
| Phone: | 7704230595 |
| Fax: | 6783915055 |