Organization
POR'SHAY HAIR COLLECTION LLC
Active
Other names
N/a
Organization subpart
No
Provider details
NPI number
Authorized official
PORSCHE' QUINCOLA THOMAS CERTIFICATE (CRANIAL PROSTHESIS SPECIALIST)
(734) 686-7523
Entity
Organization
Contact information
Practice address
3535 PEACHTREE RD NE STE 527, ATLANTA, GA 30326-3287
(734) 686-7523
(404) 671-8588
Mailing address
3535 PEACHTREE RD NE STE 527, ATLANTA, GA 30326-3287
(734) 686-7523
(404) 671-8588
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
09/11/2023
Last updated
09/11/2023
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