Standing Ovation Service & Supply LLC

NPI #1710430905 in Lyons, Georgia

Provider Information

NPI Number
1710430905
Entity Type
Organization
Organization Name
Standing Ovation Service & Supply LLC
Primary Specialty
Specialist - Prosthetics Case Management
Enumeration Date
Jul 25, 2016
Last Updated
Jul 25, 2016

Practice Location

Address
288 N LANIER ST
City
Lyons
State
Georgia
ZIP Code
30436-1351
Phone
(912) 658-7019

Authorized Official

Name
MR. TERRAN OWENS SR., HLPC
Title
CERTIFIED HAIR LOSS SPECIALIST
Phone
(912) 388-8030

Specialties & Taxonomy Codes

Specialty
Specialist - Prosthetics Case ManagementProsthetics Case Management

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