Organization
HAIRSLAYERS SALON & BOUTIQUE
Active
Other names
Hair Restoration Institute of Georgia
Organization subpart
No
Provider details
NPI number
Authorized official
YOLONDA T JOHNSON (CERTIFIED HAIR LOSS SPECIALIST)
(229) 392-4303
Entity
Organization
Contact information
Practice address
111 CYPRESS RIDGE RD, TIFTON, GA 31794-1671
(229) 392-4303
Mailing address
PO BOX 648, TIFTON, GA 31793-0648
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
CO121134
GA
Other
Enumeration date
10/10/2016
Last updated
10/10/2016
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