Organization · Type 2 NPI

Scalp Structure Center

Specialist · Decatur, GA

NPI number 1932812708 Active

Practice location

2808 Lavista Rd
Decatur, GA 30033-1325

Call (954) 305-4061 Map

Mailing address

2852 Deans Bridge Rd Ste C
Augusta, GA 30906-2767

Specialties and licenses

Taxonomy	Code	License
Specialist Primary	174400000X	None listed

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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NPI record

NPI: 1932812708
Entity type: Organization (Type 2)
Issued: Dec 26, 2022
Last updated: Dec 26, 2022
Status: Active
Subpart: Yes of Onyx & Mane Customs LLC

Other names

Onyx and Mane Customs LLC · other name

Authorized official

Onyx and Mane Customs LLC, SPECIALIST
Master Cosmotologist
(954) 305-4061

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1932812708

Scalp Structure Center's National Provider Identifier is 1932812708, issued on Dec 26, 2022. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Decatur, GA. The record was last updated on Dec 26, 2022.