Organization
T. BIBBS HAIR RESTORATION & HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TENISHA YVONNE BIBBS (TRICHOLOGIST/HAIR LOSS PRACTITIONER)
(470) 209-4671
Entity
Organization
Contact information
Practice address
1226 ROYAL DR SW STE B, CONYERS, GA 30094-5926
(470) 209-4671
Mailing address
1478 EASTMONT DR NW, CONYERS, GA 30012-3553
(678) 320-7474
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
—
—
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
05/05/2016
Last updated
05/05/2016
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