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Gifted Creation Restoration Hair Loss Clinic
Prosthetic/Orthotic Supplier in Midway, Georgia
NPI 1801492210

Gifted Creation Restoration Hair Loss Clinic is a Prosthetic/Orthotic Supplier based in Midway, GA. Gifted Creation Restoration Hair Loss Clinic practices in Midway, GA. The NPI Number for Gifted Creation Restoration Hair Loss Clinic is 1801492210 and holds a License No. (Georgia).

The current practice location address for Gifted Creation Restoration Hair Loss Clinic is 150 Butler St Ste D-5, Midway, GA and can be reached out via phone at 912-463-2883 and via fax at 912-385-9240.

Location: 150 Butler St Ste D-5, Midway, GA, 31320-0641
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1801492210
Provider Name
Gifted Creation Restoration Hair Loss Clinic
Credential
Provider Entity Type
Organization
Address
150 Butler St Ste D-5, Midway, GA, 31320-0641
Phone Number
912-463-2883
Fax Number
912-385-9240
Provider Enumeration Date
12/10/2020
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
150 Butler St Ste D-5
City
Midway
State
Georgia
Zip
31320-4575
Phone Number
912-463-2883
Fax Number
912-385-9240
person
Provider Business Mailing Address Details
Address
150 Butler St Ste D-5
City
Midway
State
Georgia
Zip
31320-4575
Phone Number
912-463-2883
Fax Number
912-385-9240
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
Prosthetics Case Management
Taxonomy
1744P3200X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
()
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
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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