| NPI | 1770272353 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BIBOMBA DAVENPORT Hair Loss Specialist 404-510-2604 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2023-05-01 |
| Last Update Date | 2023-05-01 |