IndividualActive
Ebony Williams, HAIR LOSS SPECIALIST
NPI 1679249395 · Prosthetics Case Management · Doraville, GA
Provider details
- NPI number
- 1679249395
- Entity type
- Individual
- Primary specialty
- Prosthetics Case ManagementOther Service Providers
- Credential
- HAIR LOSS SPECIALIST
- Sex
- Female
- Sole proprietor
- No
- License
- C0105979 (GA)
Specialties & taxonomies
Other Service Providers
Practice location
5280 Buford Hwy Ne Ste B
Doraville, GA 30340-1117
Phone: (770) 686-0494
Approximate (ZIP-level) locationGet directions
Mailing address
5280 Buford Hwy Ne Ste B
Doraville, GA 30340-1117
Registry dates
- Enumerated
- 2021-08-22
- Last updated
- 2021-08-22
- Certified
- 2021-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.