Organization
JAZZY WIGS, RX
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASMINE POLLARD (OWNER)
(706) 392-7756
Entity
Organization
Contact information
Practice address
59 UREY EMERSON DR, RICHLAND, GA 31825-6636
(706) 392-7756
(770) 407-6654
Mailing address
59 UREY EMERSON DR, RICHLAND, GA 31825-6636
(706) 392-7756
(770) 407-6654
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
06/25/2020
Last updated
06/25/2020
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