# ACE HAIR REJUVENATION AND WELLNESS CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699439935
- **Authorized official:** JASMINE BYNES MA1,PH1,NTI (TRICHOLOGIST)
- **Authorized official phone:** (912) 245-9332

## Contact information

- **Practice address:** 214 W MAIN ST STE 214A, SWAINSBORO, GA 30401-3150
- **Practice address phone:** (912) 245-9332
- **Mailing address:** 1702 NORTH ST E, VIDALIA, GA 30474-8721
- **Mailing address phone:** (912) 380-2228

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/22/2021
- **Last updated:** 10/26/2021