Stage 1 Hair Loss Replacement & Salon
NPI #1528764784 in Meadville, Mississippi
Provider Information
- NPI Number
- 1528764784
- Entity Type
- Organization
- Organization Name
- Stage 1 Hair Loss Replacement & Salon
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Jan 31, 2023
- Last Updated
- Jul 17, 2023
Practice Location
- Address
- 216 MAIN STREET
- City
- Meadville
- State
- Mississippi
- ZIP Code
- 39653
- Phone
- (601) 384-4532
Authorized Official
- Name
- MRS. ALANDA K TILLMAN
- Title
- PROVIDER
- Phone
- (601) 384-4532
Specialties & Taxonomy Codes
| Specialty |
|---|
| Prosthetic/Orthotic Supplier |
| Durable Medical Equipment & Medical Supplies |
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