Organization
NOGGIN NINJAS LICE REMOVAL SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRAD SKINNER (LICE REMOVAL SPECIALIST)
(706) 383-8074
Entity
Organization
Contact information
Practice address
138 CURTIS PKWY SE, CALHOUN, GA 30701-9200
(706) 383-8074
Mailing address
138 CURTIS PKWY SE, CALHOUN, GA 30701-9200
(706) 383-8074
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
07261965
GA
Other
Enumeration date
01/22/2013
Last updated
01/22/2013
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