Organization
STANDING OVATION SERVICE & SUPPLY LLC
Active
Other names
Owens Hair & Scalp Restoration
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TERRAN OWENS SR. HLPC (CERTIFIED HAIR LOSS SPECIALIST)
(912) 388-8030
Entity
Organization
Contact information
Practice address
288 N LANIER ST, LYONS, GA 30436-1351
(912) 658-7019
Mailing address
288 N LANIER ST, LYONS, GA 30436-1351
(912) 658-7019
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Enumeration date
07/25/2016
Last updated
07/25/2016
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