Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Custom Hair Extensions & Hair Loss Center

Organization Prosthetics Case Management · NPI 1295101608

Custom Hair Extensions & Hair Loss Center is a Prosthetics Case Management in Tucker, Georgia. Registered with an NPI since 2015.

In the registry since
2015

Practice location Address checks out

3983 Lavista Rd Ste 164
Tucker, GA 30084-5153
Phone: (678) 754-3196
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthetics Case Management (primary) Taxonomy 1744P3200X

Record details

NPI number1295101608
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Charla Jones — Certified Hair Loss Specialist · (678) 754-3196
NPI enumeratedAugust 19, 2015
Last updated in NPPESSeptember 4, 2015
Mailing address1900 Glenn Club Dr, Apt 1312, Stone Mountain, GA 30087-3499

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