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Hair & Scalp Restoration Center

Prosthetic/Orthotic Supplier in Jackson, MS. Organization (NPI-2).

NPI number1962010645
StatusActive
Last updated in NPPESDec 15, 2021

Details

NPI
1962010645
Entity type
Organization (NPI-2)
Legal business name
Hair & Scalp Restoration Center
Organization subpart
No
Enumeration date
Jul 17, 2020
Certification date
Dec 13, 2021
Last updated
Dec 15, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
335E00000X Prosthetic/Orthotic Supplier––Yes

Other names

  • Hair & Scalp Restoration Center (Former Legal Business Name)

Practice location

246 Briarwood Dr Ste 102
Jackson, MS 39206-3027

Phone 662-590-6605 · Fax 769-922-5992

Mailing address

726 W Madison St
Yazoo City, MS 39194-3483

Phone 662-590-6605 · Fax 769-022-5992

Authorized official

Meko Carter
Owner
6625906605

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