Organization
FRESH HEADS SAVANNAH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. WHITNEY MANDA OTTESEN (OWNER)
(904) 235-3157
Entity
Organization
Contact information
Practice address
1000 US HIGHWAY 80 W, POOLER, GA 31322-2114
(912) 559-4011
Mailing address
653 LAKE STONE CIR, PONTE VEDRA BEACH, FL 32082-4342
(904) 235-3157
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
04/04/2019
Last updated
04/04/2019
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