Organization
BEYOND THE FOLLICLE HAIR RESTORATION CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BEURENA JOHNSON (PRESIDENT)
(706) 691-8815
Entity
Organization
Contact information
Practice address
211 BOBBY JONES EXPY STE C, MARTINEZ, GA 30907-5253
(706) 691-8815
Mailing address
PO BOX 672, AUGUSTA, GA 30903-0672
(706) 691-8815
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
CO059153
GA
Other
Enumeration date
06/14/2016
Last updated
06/14/2016
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