| NPI | 1679444996 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANNE D LANIER Trichologist 229-296-2457 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2025-09-17 |
| Last Update Date | 2025-09-17 |