NPI | 1730592767 |
---|---|
Former Legal Business Name | ATLANTA HAIR RESTORATION |
Entity Type | Organization |
Authorized Contact | BEVERLY JEUDI President 678-478-4567 |
Organization Subpart ? | No |
Primary Taxonomy | 1744P3200X Specialist, Prosthetics Case Management (Licence: GA COO7118) |
Enumeration Date | 2014-06-06 |
Last Update Date | 2014-06-06 |