Gifted Creation Restoration Hair Loss Clinic
Gifted Creation Restoration Hair Loss Clinic is a Prosthetics Case Management in Midway, Georgia. Registered with an NPI since 2020.
- In the registry since
- 2020
- Specialties on file
- 3
Practice location Address checks out
150 Butler St Ste D-5Midway, GA 31320-4575
Phone: (912) 463-2883
Fax: (912) 385-9240
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Prosthetics Case Management (primary) | Taxonomy 1744P3200X |
|---|---|
| Durable Medical Equipment & Medical Supplies | Taxonomy 332B00000X |
| Prosthetic/Orthotic Supplier | Taxonomy 335E00000X |
Record details
| NPI number | 1801492210 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Shonda King — Trichologists · (912) 463-2883 |
| NPI enumerated | December 10, 2020 |
| Last updated in NPPES | December 10, 2020 |
| Certification date | December 8, 2020 |
| Mailing address | Po Box 641, Midway, GA 31320-0641 |