OrganizationActive
Custom Hair Extensions & Hair Loss Center
NPI 1295101608 · Prosthetics Case Management · Tucker, GA
Provider details
- NPI number
- 1295101608
- Entity type
- Organization
- Primary specialty
- Prosthetics Case ManagementOther Service Providers
- Authorized official
- Charla Jones, Certified Hair Loss Specialist
Practice location
3983 Lavista Rd
Suite 164
Tucker, GA 30084-5153
Phone: (678) 754-3196
Mailing address
1900 Glenn Club Dr
Stone Mountain, GA 30087-3499
Registry dates
- Enumerated
- 2015-08-19
- Last updated
- 2015-09-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.