OrganizationActive
Gifted Creation Restoration Hair Loss Clinic
NPI 1801492210 · Prosthetics Case Management · Midway, GA
Provider details
- NPI number
- 1801492210
- Entity type
- Organization
- Primary specialty
- Prosthetics Case ManagementOther Service Providers
- Organization subpart
- No
- Authorized official
- Shonda King, Trichologists(912) 463-2883
Specialties & taxonomies
Other Service Providers
Suppliers
- Prosthetic/Orthotic Supplier335E00000X
Suppliers
Practice location
150 Butler St Ste D-5
Midway, GA 31320-4575
Phone: (912) 463-2883
Fax: (912) 385-9240
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 641
Midway, GA 31320-0641
Registry dates
- Enumerated
- 2020-12-10
- Last updated
- 2020-12-10
- Certified
- 2020-12-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.