Organization · Type 2 NPI

Hair & Scalp Restoration Center

Prosthetic/Orthotic Supplier · Jackson, MS

NPI number 1962010645 Active

Practice location

246 Briarwood Dr Ste 102
Jackson, MS 39206-3027

Call (662) 590-6605 Map

Fax (769) 922-5992

Mailing address

726 W Madison St
Yazoo City, MS 39194-3483

Specialties and licenses

Taxonomy	Code	License
Prosthetic/Orthotic Supplier Primary	335E00000X	None 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.

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NPI record

NPI: 1962010645
Entity type: Organization (Type 2)
Issued: Jul 17, 2020
Last updated: Dec 15, 2021
Status: Active

Other names

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Hair & Scalp Restoration Center · former legal business name
Hair & Scalp Restoration Center · former legal business name

Authorized official

Meko Carter
Owner
(662) 590-6605

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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 1962010645

Hair & Scalp Restoration Center's National Provider Identifier is 1962010645, issued on Jul 17, 2020. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Jackson, MS. The record was last updated on Dec 15, 2021.