| NPI | 1528587656 |
|---|---|
| Doing Business As | EJUAN HAIR REPLACEMENT CENTER |
| Entity Type | Organization |
| Authorized Contact | EJUAN DAVIS SMALLWOOD Hair Loss Specialist 404-834-0396 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 174400000X Specialist (Licence: GA CO097738) |
| 1744P3200X Specialist, Prosthetics Case Management | |
| 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment | |
| Enumeration Date | 2017-09-09 |
| Last Update Date | 2017-09-14 |