Individual provider · Type 1 NPI

Tavories Ivey Sr., HAIR LOSS SPECIALIST

Specialist · Augusta, GA

NPI number 1407319676 Active

Practice location

4409 Silverton Rd
Augusta, GA 30909-9122

Call (706) 466-2251 Map

Other practice locations

  • 2115 Windsor Spring Rd Ste 13, Augusta, GA 30906-4883 · (706) 466-2251

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XBR020119 (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.

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About NPI 1407319676

Tavories Ivey Sr., HAIR LOSS SPECIALIST's National Provider Identifier is 1407319676, issued on Apr 12, 2019. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Augusta, GA. The record was last updated on Apr 12, 2019.