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Organization

TANN & CO. HAIR SALON

Active
Other names
Tann & Co Hair Salon
Organization subpart
No

Provider details

NPI number
Authorized official
MS. TANDIKA J DRAKE HAIR LOSS SPECIALIS (OWNER/ OPERATOR/ SPECIALIST)
(678) 887-0812
Entity
Organization

Contact information

Practice address
1158 FOREST PKWY STE D, LAKE CITY, GA 30260-3464
(678) 887-0812
Mailing address
3283 BELLS LANDING DR, REX, GEORGIA 30273
(678) 489-2784

Taxonomy

Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
CO095149
GA

Other

Enumeration date
02/15/2017
Last updated
01/09/2020
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