Organization
JANOGAN LLC
Active
Other names
Janogan Enhancement Center of Georgia
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LYVETTA WALKER MARSHALL (OWNER/HAIR REPLACEMENT SPECIALIST)
(706) 993-9341
Entity
Organization
Contact information
Practice address
4159 WHEELER RD STE D, MARTINEZ, GA 30907-7751
(706) 993-9341
(706) 524-4020
Mailing address
4159 WHEELER RD STE D, MARTINEZ, GA 30907-7751
(706) 993-9341
(706) 524-4020
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
CO072859
GA
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
01/19/2017
Last updated
01/19/2017
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