Organization
HAIR PRESCRIPTIONS HEALTH AND WELLNESS REPLACEMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CYNTHIA COLE (OWNER)
(770) 907-1420
Entity
Organization
Contact information
Practice address
8488 CARLTON RD, 6944 A HWY 85, RIVERDALE, GA. 30274 (BUSINESS LOCATION), RIVERDALE, GA 30296-1282
(770) 907-1420
Mailing address
6944 HIGHWAY 85 STE A, SUITE A, RIVERDALE, GA 30274-2960
(770) 907-1420
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
COSA034706
GA
Other
Enumeration date
01/07/2011
Last updated
05/02/2012
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