Organization
RUNWAY CURLS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MUSHIYA TSHIKUKA (CEO)
(404) 630-4772
Entity
Organization
Contact information
Practice address
780 N HIGHLAND AVE NE, ATLANTA, GA 30306-4506
(404) 832-0801
Mailing address
3082 BONITA SPRINGS CT, DOUGLASVILLE, GA 30135-9239
(404) 630-4772
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
207NS0135X
Procedural Dermatology Physician
—
—
Other
Enumeration date
07/11/2024
Last updated
07/11/2024
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