Organization
4K TRESSES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NYKOI R POTTS-SLOWE (CEO)
(404) 860-2114
Entity
Organization
Contact information
Practice address
1220 EXECUTIVE BLVD STE 101, CHESAPEAKE, VA 23320
(404) 860-2114
(757) 482-4840
Mailing address
1008 KENDALE CIR, CHESAPEAKE, VA 23322-6872
(404) 860-2114
(757) 482-4840
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Enumeration date
07/27/2018
Last updated
07/27/2018
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