ERA RUSSELL, HAIR LOSS SPECIALIST

Prosthetist

Active Individual
NPI: 1447604178

Practice Address

2170 W POINT RD
SUITE 36
Lagrange, GA 30240

Phone: (762) 323-7874

Specialties

Specialty Code Primary License
Orthotic Fitter 225000000X No -
Prosthetist 224P00000X Yes 224P00000X (GA)

Frequently Asked Questions

NPI 1447604178 is the National Provider Identifier for ERA RUSSELL, HAIR LOSS SPECIALIST, a Prosthetist provider located in Lagrange, GA. This NPI was enumerated on April 19, 2016.
ERA RUSSELL, HAIR LOSS SPECIALIST practices at 2170 W POINT RD, SUITE 36, Lagrange, GA 30240.

Quick Facts

NPI
1447604178
Type
Individual
Enumerated
Apr 19, 2016
Last Updated
Nov 1, 2021

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