Organization
OPTIMUM HAIR GROWTH CENTER, LLC
Active
Other names
Optimum Medical Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
MISS MAHNAZ SHAHMAR (PRESIDENT)
(470) 447-1629
Entity
Organization
Contact information
Practice address
5051 PEACHTREE CORNERS CIR, SUITE 200, PEACHTREE CORNERS, GA 30092-2592
(470) 447-1629
Mailing address
5051 PEACHTREE CORNERS CIR, SUITE 200, NORCROSS, GA 30092-2592
(470) 447-1629
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
56969
GA
Other
Enumeration date
10/25/2016
Last updated
10/25/2016
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