Organization
TRANSFORMATION HAIR SOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TEONDRA SHANTAY MCGRUDER (OWNER)
(706) 513-9504
Entity
Organization
Contact information
Practice address
1755 GORDON HWY STE A, AUGUSTA, GA 30904-5131
(478) 206-2684
Mailing address
1755 GORDON HWY STE A, AUGUSTA, GA 30904-5131
(478) 206-2684
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Enumeration date
07/14/2022
Last updated
07/14/2022
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