NPI 1528587656

Ejuan Hair Replacement Center

Organisation Durable Medical Equipment & Medical Supplies Hiram, GA

Practice location

Address: 5043 Jimmy Lee Smith Pkwy, Hiram, GA 30141-2733
Phone: (404) 834-0396
Mailing address: 19 Centennial Ln, Dallas, GA 30132-0256

Authorised official

Name: Ejuan Davis Smallwood
Title: Hair Loss Specialist
Phone: (404) 834-0396

Registered specialties (4)

Durable Medical Equipment & Medical Supplies Primary

Suppliers Taxonomy 332B00000X

Other Durable Medical Equipment & Medical Supplies providers in Georgia →

Specialist

Other Service Providers Taxonomy 174400000X Licence CO097738 (GA)

Other Specialist providers in Georgia →

Prosthetics Case Management

Other Service Providers Taxonomy 1744P3200X

Customized Equipment (DME)

Suppliers Taxonomy 332BC3200X

Registry record

NPI: 1528587656
Entity type: Organization
NPI issued: 9 Sep 2017
Record last updated: 14 Sep 2017

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.