| NPI | 1295101608 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLA JONES Certified Hair Loss Specialist 678-754-3196 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1744P3200X Specialist, Prosthetics Case Management |
| Enumeration Date | 2015-08-19 |
| Last Update Date | 2015-09-04 |