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NPI Code Detail

MEDICARE: ALOPECIA HAIR SOCIETY LLC

MEDICARE: ALOPECIA HAIR SOCIETY LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1224P00000XProsthetist

General Provider Information

NPI Number : 1073430146
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALOPECIA HAIR SOCIETY LLC
Provider Business Mailing Address
First Line : 1870 THE EXCHANGE SE STE 200-1388
Second Line :
City : ATLANTA
State : GA
Zip : 30339-2036
Country : US
Telephone Number : 510-989-2300
Fax Number :
Provider Business Practice Location Address
First Line : 1870 THE EXCHANGE SE STE 200-1388
Second Line :
City : ATLANTA
State : GA
Zip : 30339-2036
Country : US
Telephone Number : 510-989-2300
Fax Number :
Authorized Official
Title or Position : AGENT
Name : SHIRLEYSIA JONES
Credential :
Telephone Number : 510-989-2300
Provider Enumeration Date : 06/30/2026
Last Update Date : 06/30/2026

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Directions to “ALOPECIA HAIR SOCIETY LLC ” Practice Location

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