Organization
REAL CUSTOM HAIR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIKKI BELL (CEO)
(678) 733-6466
Entity
Organization
Contact information
Practice address
2451 CUMBERLAND PKWY SE, 300-3711, ATLANTA, GA 30339-6136
(678) 733-6466
Mailing address
2451 CUMBERLAND PKWY SE, 300-3711, ATLANTA, GA 30339-6136
(678) 733-6466
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
CO094395
GA
Other
Enumeration date
07/25/2016
Last updated
07/25/2016
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