IndividualActive
Ejuan Davis, HAIR LOSS SPECIALIST
NPI 1437676244 · Prosthetics Case Management · Hiram, GA
Provider details
- NPI number
- 1437676244
- Entity type
- Individual
- Primary specialty
- Prosthetics Case ManagementOther Service Providers
- Credential
- HAIR LOSS SPECIALIST
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
- Specialist174400000X
Other Service Providers
- Other Specialist/Technologist246Z00000X
Technologists, Technicians & Other Technical Service Providers
Practice location
5043 Jimmy Lee Smith Pkwy
Hiram, GA 30141-2733
Phone: (404) 834-0396
Approximate (ZIP-level) locationGet directions
Mailing address
19 Centennial Ln
Dallas, GA 30132-0256
Additional practice locations (1)
- 19 Centennial LnDallas, GA 30132-0256Phone: (404) 834-0396
Registry dates
- Enumerated
- 2017-08-23
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.