Organization
ITSMEANNB,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNTIONEEK BOSTON BS,ED (HAIR LOSS SPECIALIST)
(678) 744-3440
Entity
Organization
Contact information
Practice address
1128 LORA SMITH RD, NEWNAN, GA 30265-1924
(678) 744-3440
Mailing address
PO BOX 733, PALMETTO, GA 30268-0733
(678) 744-3440
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
10/23/2018
Last updated
10/23/2018
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