Organization
ADVANCED HAIR GROWTH CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TEMIMA ALI (OWNER)
(704) 649-8800
Entity
Organization
Contact information
Practice address
10931 E INDEPENDENCE BLVD STE T, MATTHEWS, NC 28105-5056
(980) 938-6100
Mailing address
5929 MEADOW HILL DR, CHARLOTTE, NC 28212-4519
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Enumeration date
12/09/2019
Last updated
01/11/2022
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