Custom Hair Extensions & Hair Loss Center
Custom Hair Extensions & Hair Loss Center provides Prosthetics Case Management services in Tucker, Georgia. Registered with an NPI since 2015.
- In the registry since
- 2015
Practice location Address checks out
3983 Lavista Rd Ste 164Tucker, GA 30084-5153 Not confirmed with CMS for 11 years — call before visiting
Phone: (678) 754-3196
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Prosthetics Case Management (primary) | Taxonomy 1744P3200X |
|---|
Record details
| NPI number | 1295101608 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Charla Jones — Certified Hair Loss Specialist · (678) 754-3196 |
| NPI enumerated | August 19, 2015 |
| Last updated in NPPES | September 4, 2015 |
| Mailing address | 1900 Glenn Club Dr, Apt 1312, Stone Mountain, GA 30087-3499 |
Other providers in Tucker
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Mrs. Shikina Latrice De Veaux, SPECIALIST
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Malika Durham
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Sylvia Evans
2200 Northlake Pkwy Ste 330, Tucker, GA 30084-4084 · (678) 964-6761
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Kenisha Lashun Garrett
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