| NPI | 1093322687 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRENCE RANDELL MITCHELL Certified Hair Loss Specialist 501-732-6041 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 1744P3200X Specialist, Prosthetics Case Management |
| 335E00000X Prosthetic/Orthotic Supplier | |
| Enumeration Date | 2020-09-28 |
| Last Update Date | 2022-04-25 |