Individual provider · Type 1 NPI

Regina Ingram Amell, MASTER COSMETOLOGIST

Customized Equipment (DME) · Alpharetta, GA

NPI number 1982082525 Active

Practice location

11770 Haynes Bridge Rd, Suite 401 Room 48
Alpharetta, GA 30009-1966

Specialties and licenses

TaxonomyCodeLicense
Customized Equipment (DME) Primary 332BC3200XNone listed

Customized Equipment (DME): Definition to come...

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About NPI 1982082525

Regina Ingram Amell, MASTER COSMETOLOGIST's National Provider Identifier is 1982082525, issued on May 15, 2015. The primary taxonomy on file is Customized Equipment (DME) (332BC3200X), and the practice location is in Alpharetta, GA. The record was last updated on Nov 24, 2015.