institution
Ian Bradley Hair Salon Llc
Prosthetic/Orthotic Supplier in Macon, Georgia
NPI 1073239265

Ian Bradley Hair Salon Llc is a Prosthetic/Orthotic Supplier based in Macon, GA. Ian Bradley Hair Salon Llc practices in Macon, GA. The NPI Number for Ian Bradley Hair Salon Llc is 1073239265 and holds a License No. (Georgia).

The current practice location address for Ian Bradley Hair Salon Llc is 3902 Northside Dr Ste A3, Macon, GA and can be reached out via phone at 478-845-1210 and via fax at 478-210-5078. You can also correspond with Ian Bradley Hair Salon Llc through the mailing address at 222 JOYCLIFF CIR, MACON, GA - 31211-7040 (mailing address contact number: 478-714-4302).

Location: 3902 Northside Dr Ste A3, Macon, GA, 31211-7040
institution
Provider Profile Details
NPI Number
1073239265
Provider Name
Ian Bradley Hair Salon Llc
Credential
Provider Entity Type
Organization
Address
3902 Northside Dr Ste A3, Macon, GA, 31211-7040
Phone Number
478-845-1210
Fax Number
478-210-5078
Provider Enumeration Date
10/18/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
3902 Northside Dr Ste A3
City
State
Zip
31210-2459
Phone Number
478-845-1210
Fax Number
478-210-5078
person
Provider Business Mailing Address Details
Address
3902 Northside Dr Ste A3
City
State
Zip
31210-2459
Phone Number
478-845-1210
Fax Number
478-210-5078
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
License No.
()
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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