| NPI | 1194196808 |
|---|---|
| Other Name | BEYOND THE ROOT HAIR RESTORATION CENTER |
| Entity Type | Organization |
| Authorized Contact | SEBRICA T. MOORE CEO 229-886-2481 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1744P3200X Specialist, Prosthetics Case Management |
| Enumeration Date | 2015-10-08 |
| Last Update Date | 2015-10-08 |