| NPI | 1144767849 |
|---|---|
| Doing Business As | JANOGAN ENHANCEMENT CENTER OF GEORGIA |
| Entity Type | Organization |
| Authorized Contact | LYVETTA WALKER MARSHALL Owner/Hair Replacement Specialist 706-993-9341 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty (Licence: GA CO072859) |
| Enumeration Date | 2017-01-19 |
| Last Update Date | 2017-01-19 |