Organization
COSMO B HAIR SALON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRITTANY CRAFTON CERTIFIED HAIR LOSS (CERTIFIED HAIR LOSS SPECIALIST)
(706) 829-3396
Entity
Organization
Contact information
Practice address
805 SHARTOM DR, AUGUSTA, GA 30907-4716
(706) 829-3396
Mailing address
805 SHARTOM DR, AUGUSTA, GA 30907-4716
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
CO111737
GA
Other
Enumeration date
04/18/2017
Last updated
04/18/2017
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