NPI 1013629963
Trichology Hair Loss Prevention
Practice location
- Address
- 470 Knollwood St, Winston Salem, NC 27103-3426
- Phone
- (336) 986-9063
- Mailing address
- PO Box 11762, Winston Salem, NC 27116-1762
Authorised official
- Name
- Leola McMillan
- Title
- Practitioner
- Phone
- (336) 918-8521
Registered specialties (8)
VA Clinic/Center
Primary
Prosthetics Case Management
Prosthetist
Clinic/Center
Durable Medical Equipment & Medical Supplies
Customized Equipment (DME)
Prosthetic/Orthotic Supplier
Registry record
- NPI
- 1013629963
- Entity type
- Organization
- NPI issued
- 21 Dec 2022
- Record last updated
- 30 Mar 2026
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.