Gifted Creation Restoration Hair Loss Clinic

LBN: Gifted Creation Restoration Hair Loss Clinic
Gifted Creation Restoration Hair Loss Clinic is an health care organization with primary practice located at 150 Butler St Ste D-5 , Midway GA 31320-4575. The organization recently has 3 registered licenses in different health care specialties including Other Service Providers / Prosthetics Case Management, Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Prosthetic/Orthotic Supplier. Other Service Providers / Prosthetics Case Management is the primary health care specialty. Gifted Creation Restoration Hair Loss Clinic can be contacted via phone (912) 463-2883, or through King, Shonda via phone (912) 463-2883.

Contact Information

Primary practice address
150 Butler St Ste D-5 Midway GA 31320-4575
Phone: (912) 463-2883
Fax: (912) 385-9240
Website:
Map and Directions
Authorized official contact:
Name: King, Shonda AMCA
Phone: (912) 463-2883

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Prosthetics Case Management 1744P3200X
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Prosthetic/Orthotic Supplier 335E00000X

Profile Details

NPI number 1801492210
LBN Legal business name Gifted Creation Restoration Hair Loss Clinic
DBA Doing business as
Authorized official King, Shonda AMCA
Entity Organization
Organization subpart 1 No
Enumeration date Dec 10th, 2020
Last updated Dec 10th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers