| NPI | 1457046476 |
|---|---|
| Former Legal Business Name | SCULPT 8 HEAD 2 TOE |
| Entity Type | Organization |
| Authorized Contact | TAKELA L BUGG Owner 706-254-6837 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0800X Clinic/Center, Recovery Care |
| Enumeration Date | 2023-04-06 |
| Last Update Date | 2023-04-06 |