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Organization

BLOWN, LLC

Active
Other names
Novi Te Scalp Aesthetics
Organization subpart
No

Provider details

NPI number
Authorized official
SHANEA BUIE (CEO)
(706) 708-9090
Entity
Organization

Contact information

Practice address
6001 RIVER RD STE 210, COLUMBUS, GA 31904-4574
(706) 708-9090
Mailing address
6001 RIVER RD STE 210, COLUMBUS, GA 31904-4574
(706) 708-9090

Taxonomy

Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
335E00000X
Prosthetic/Orthotic Supplier

Other

Enumeration date
11/29/2023
Last updated
05/06/2024
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