Organization
JAPINSTIUTE OF WEAVEOLOGY
Active
Other names
Jap wig and weave
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAVON ANTWANE PINELLAS WEAVE AND WIG MAKER (OWNER)
(404) 990-6824
Entity
Organization
Contact information
Practice address
31 HIGHWAY 138 W STE 320, STOCKBRIDGE, GA 30281-4235
(404) 990-6824
(229) 210-3350
Mailing address
31 HIGHWAY 138 W STE 320, STOCKBRIDGE, GA 30281-4235
(404) 990-6824
(229) 210-3350
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
09/14/2021
Last updated
09/14/2021
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