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COASTAL HAIR LOSS CENTER NPI 1073126132


NPI Information

NPI: 1073126132
Provider Name: COASTAL HAIR LOSS CENTER
Classification: Prosthetist - 224P00000X
Entity Type: Organization
Address:
828 PASS RD STE C
GULFPORT, MS
ZIP 39501
Phone: (228) 617-0908
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COASTAL HAIR LOSS CENTER is a prosthetist in Gulfport, MS. The provider is a health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. COASTAL HAIR LOSS CENTER NPI is 1073126132. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

828 PASS RD STE C
GULFPORT, MS
ZIP 39501-437
Phone: (228) 617-0908

The provider's authorized official is Denisha L Williams .
The authorized official title is Ceo and has the following contact phone number (228) 617-0908.

The enumeration date for this NPI number is 8/28/2020 and was last updated on 8/30/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1224P00000XProsthetistYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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