MEDICARE: CHRISTEN ABBOTT HAIR LOSS SPECILIST

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	1744P3200X	Prosthetics Case Management
2	335E00000X	Prosthetic/Orthotic Supplier
3	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1780141978
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTEN ABBOTT HAIR LOSS SPECILIST

Provider Business Mailing Address
First Line	:	712 GARY RD NW
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30318-6216
Country	:	US
Telephone Number	:	678-732-7981
Fax Number	:

Provider Business Practice Location Address
First Line	:	712 GARY RD NW
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30318-6216
Country	:	US
Telephone Number	:	678-732-7981
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/25/2019
Last Update Date	:	12/09/2025

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