Organization
SASSY HAIR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAYE LISTON (OWNER/PROVIDER)
(770) 631-1600
Entity
Organization
Contact information
Practice address
130 HOWELL RD, SUITE E, TYRONE, GA 30290-6800
(770) 631-1600
Mailing address
130 HOWELL RD, SUITE E, TYRONE, GA 30290-6800
(770) 631-1600
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
01/21/2014
Last updated
01/21/2014
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