Organization
PEDIATRIC HAIR SOLUTIONS CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN E FASSLER M.D. (MEDICAL DIRECTOR)
(704) 909-9414
Entity
Organization
Contact information
Practice address
217 PICKENS ST, COLUMBIA, SC 29205-2911
(704) 909-9414
Mailing address
6923 SHANNON WILLOW RD, STE 100, CHARLOTTE, NC 28226-1330
(704) 909-9414
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
SC19767
SC
Other
Enumeration date
04/21/2016
Last updated
04/21/2016
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