Organization
SMILEY'S HAIR CLINIC LLC
Active
Organization
SMILEY'S HAIR CLINIC LLC
Active
Other names
Smiley's Hair Clinic & Mastectomy Boutique
Organization subpart
No
Provider details
NPI number
Authorized official
SHARMELE WEST SMITH CMF (CERTIFIED MASTECTOMY FITTER)
(678) 515-7523
Entity
Organization
Contact information
Practice address
4229 1ST AVE STE E, TUCKER, GA 30084-4469
(678) 515-7523
Mailing address
4229 1ST AVE STE E, TUCKER, GA 30084-4469
(678) 515-7523
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
—
—
224900000X
Mastectomy Fitter
Primary
—
—
Other
Enumeration date
04/14/2022
Last updated
04/14/2022
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