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FRESH HEADS SAVANNAH LLC NPI 1811459258


NPI Information

NPI: 1811459258
Provider Name: FRESH HEADS SAVANNAH, LLC
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
1000 US HIGHWAY 80 W
POOLER, GA
ZIP 31322
Phone: (912) 559-4011
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FRESH HEADS SAVANNAH, LLC is a clinic center in Pooler, GA. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). FRESH HEADS SAVANNAH, LLC NPI is 1811459258. The provider is registered as an organization entity type.

The provider's business location address is:

1000 US HIGHWAY 80 W
POOLER, GA
ZIP 31322-114
Phone: (912) 559-4011

The provider's authorized official is Whitney Manda Ottesen .
The authorized official title is Owner and has the following contact phone number (904) 235-3157.

The enumeration date for this NPI number is 4/4/2019 and was last updated on 4/4/2019.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261Q00000XClinic/CenterYes

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: 4/28/2024

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