Organization
NATIONAL BLACK HAIR INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHARMELE WEST (OWNER)
(770) 292-8348
Entity
Organization
Contact information
Practice address
1989 MONTREAL RD, STE. B, TUCKER, GA 30084-5218
(770) 292-8348
Mailing address
835 HERITAGE OAKS DR, STONE MOUNTAIN, GA 30088-2027
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
CO098641
GA
Other
Enumeration date
05/27/2016
Last updated
05/27/2016
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