Smiley's Hair Clinic LLC

NPI #1730822057 in Tucker, Georgia

Provider Information

NPI Number: 1730822057
Entity Type: Organization
Organization Name: Smiley's Hair Clinic LLC
Primary Specialty: Mastectomy Fitter
Enumeration Date: Apr 14, 2022
Last Updated: Apr 14, 2022

Practice Location

Address: 4229 1ST AVE STE E
City: Tucker
State: Georgia
ZIP Code: 30084-4469
Phone: (678) 515-7523

Authorized Official

Name: SHARMELE WEST SMITH, CMF
Title: CERTIFIED MASTECTOMY FITTER
Phone: (678) 515-7523

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist - Prosthetics Case Management — Prosthetics Case Management	1744P3200X
Mastectomy Fitter	224900000X	Primary

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Organizations

Provider Name	Specialty	City
Smiley's Hair Clinic LLC	Mastectomy Fitter	Tucker	AI Deep Dive

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