Organization
ACE HAIR REJUVENATION AND WELLNESS CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASMINE BYNES MA1,PH1,NTI (TRICHOLOGIST)
(912) 245-9332
Entity
Organization
Contact information
Practice address
214 W MAIN ST STE 214A, SWAINSBORO, GA 30401-3150
(912) 245-9332
Mailing address
1702 NORTH ST E, VIDALIA, GA 30474-8721
(912) 380-2228
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
10/22/2021
Last updated
10/26/2021
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