NPI 1003366444

Hairslayers Salon & Boutique

Organisation Prosthetics Case Management Tifton, GA

Practice location

Address: 111 Cypress Ridge Rd, Tifton, GA 31794-1671
Phone: (229) 392-4303
Mailing address: PO Box 648, Tifton, GA 31793-0648

Authorised official

Name: Yolonda T Johnson
Title: Certified Hair Loss Specialist
Phone: (229) 392-4303

Registered specialties

Prosthetics Case Management Primary

Other Service Providers Taxonomy 1744P3200X Licence CO121134 (GA)

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Registry record

NPI: 1003366444
Entity type: Organization
NPI issued: 10 Oct 2016
Record last updated: 10 Oct 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.