Provider Demographics
NPI:1346743622
Name:ADOTE, CELESTE GRACE (DT)
Entity Type:Individual
Prefix:DR
First Name:CELESTE
Middle Name:GRACE
Last Name:ADOTE
Suffix:
Gender:F
Credentials:DT
Other - Prefix:
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Mailing Address - Street 1:208 WINDCREST CT
Mailing Address - Street 2:
Mailing Address - City:WOODSTOCK
Mailing Address - State:GA
Mailing Address - Zip Code:30188-4576
Mailing Address - Country:US
Mailing Address - Phone:404-395-6763
Mailing Address - Fax:770-928-7164
Practice Address - Street 1:8590 MAIN ST
Practice Address - Street 2:
Practice Address - City:WOODSTOCK
Practice Address - State:GA
Practice Address - Zip Code:30188-4846
Practice Address - Country:US
Practice Address - Phone:404-395-6763
Practice Address - Fax:770-928-7164
Is Sole Proprietor?:No
Enumeration Date:2018-03-13
Last Update Date:2018-03-13
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetist