Organization · Type 2 NPI

Ian Bradley Hair Salon LLC

Prosthetic/Orthotic Supplier · Macon, GA

NPI number 1073239265 Active

Practice location

3902 Northside Dr Ste A3
Macon, GA 31210-2459

Call (478) 845-1210 Map

Fax (478) 210-5078

Mailing address

222 Joycliff Cir
Macon, GA 31211-7040

Specialties and licenses

TaxonomyCodeLicense
Prosthetic/Orthotic Supplier Primary 335E00000XNone listed

Prosthetic/Orthotic Supplier: An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.

4 other providers at this address

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About NPI 1073239265

Ian Bradley Hair Salon LLC's National Provider Identifier is 1073239265, issued on Oct 18, 2022. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Macon, GA. The record was last updated on Oct 18, 2022.