Organization
TEE'S HAIR SALON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMARRIAN MYRICK (CERTIFIED HAIR LOSS SPECIALIST)
(404) 663-3585
Entity
Organization
Contact information
Practice address
185 VENTURE PATH, HIRAM, GA 30141-2680
(404) 663-3585
Mailing address
185 VENTURE PATH, HIRAM, GA 30141-2680
(404) 663-3585
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
CO112150
GA
Other
Enumeration date
08/07/2016
Last updated
08/08/2016
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