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YOLANDA POLK
NPI 1255018016
Prosthetic/Orthotic Supplier in Fayetteville, GA

Active since July 03, 2023
115 PROMENADE PKWY STE A, FAYETTEVILLE, GA 30214(504) 914-1416 Get Directions Write a Review

NPPES record last updated: July 3, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Yolanda Polk NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

YOLANDA POLK (NPI 1255018016) is an individual prosthetic/orthotic supplier provider in Fayetteville, Georgia and active in the NPI registry since July 2023.

NPPES Registry Identity

NPI1255018016
Entity TypeIndividualFemale
Primary Taxonomy335E00000X
Provider Legal NameYOLANDA POLK
Location Address115 PROMENADE PKWY STE AFayetteville, GA 30214-7713
Mailing Address2613 Bluestone Dr SwAtlanta, GA 30331-9498 · (504) 914-1416
Phone(504) 914-1416
Sole ProprietorYes
Enumeration DateJuly 3, 2023
NPPES CertifiedJuly 3, 2023
✔ NPI 1255018016 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyProsthetic/Orthotic SupplierSuppliers
Taxonomy Code335E00000X
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
115 PROMENADE PKWY STE A, Fayetteville, GA 30214
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GRACEFUL HANDZ SALON LLC
Prosthetic/Orthotic Supplier
115 PROMENADE PKWY STE A
FAYETTEVILLE, GA 30214
Fayette County (504) 914-1416

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Yolanda Polk's NPI number?

The NPI number for Yolanda Polk is 1255018016. It was assigned to this individual provider in the NPPES registry on July 3, 2023.

Where is Yolanda Polk located?

Yolanda Polk practices at 115 Promenade Pkwy Ste A, Fayetteville, GA 30214. The listed phone number is (504) 914-1416.

What is Yolanda Polk's specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

When was this NPI record last updated?

The NPPES record for Yolanda Polk was last updated on July 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.