SearchGeorgiaClinic/Center

Shonda King, TRICHOLOGY

NPI 1255808515 · on the registry since 2018 · sole proprietor

Practice

Address
150 Butler St Ste D5-D7
Midway, GA 31320
Organisation at this address
Gifted Creation Restoration Hair Loss Clinic
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Additional practice sites

  • 150 Butler St Ste D-5d7, Midway, GA

Registry record

Primary taxonomy
Clinic/Center
261Q00000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-10-25

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia