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Era Russell, HAIR LOSS SPECIALIST

NPI 1447604178 · on the registry since 2016

Practice

Address
2170 W Point Rd
Suite 36
Lagrange, GA 30240
Phone
(762) 323-7874
Organisation at this address
Simply Love
Jm Group Services Corp
Artisan Beauty Salon Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
224P00000X
224P00000X
Also registered as
225000000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-11-01

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