| 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 |