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Organization

REVIVING CROWNS SOLUTIONS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARQUISHA SHANKEIA GENERAL HAIR LOSS SPECIALIST (OWNER)
(770) 580-2380
Entity
Organization

Contact information

Practice address
1812 N BROWN RD STE 30-113, LAWRENCEVILLE, GA 30043-1801
(770) 580-2380
(770) 628-5144
Mailing address
3379 PEACHTREE RD NE STE 655-S24, ATLANTA, GA 30326-1031
(770) 580-2380
(770) 628-5144

Taxonomy

Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary

Other

Enumeration date
02/22/2023
Last updated
03/13/2023
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