Individual provider · Type 1 NPI
Renee Mikeasha Paisley-Green, HAIR REPLACEMENT SPC
Specialist · Augusta, GA
NPI number
1154031615
Active
Practice location
2852 Deans Bridge Rd Ste C
Augusta, GA 30906-2767
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | CO134520 (GA) |
| Customized Equipment (DME) | 332BC3200X | None listed |
| Prosthetic/Orthotic Supplier | 335E00000X | CO134520 (GA) |
| Specialist Primary | 174400000X | CO134520 (GA) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Another provider at this address
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About NPI 1154031615
Renee Mikeasha Paisley-Green, HAIR REPLACEMENT SPC's National Provider Identifier is 1154031615, issued on Nov 24, 2022. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Augusta, GA. The record was last updated on Nov 24, 2022.