Organization
CAROLINA PEACH HAIR RESTORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATASHA WRIGHT WTS (TRICHOLOGIST)
(912) 777-2517
Entity
Organization
Contact information
Practice address
7370 HODGSON MEMORIAL DR STE D3, SAVANNAH, GA 31406-2541
(912) 777-2517
Mailing address
104 WHITEHAVEN RD, SAVANNAH, GA 31407-4809
(912) 677-2533
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
059806083
UNITED HEALTH
GA
Enumeration date
04/01/2020
Last updated
04/01/2020
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