| Fresh Heads Savannah, LLC | |
|
1000 Us Highway 80 W Pooler GA 31322-2114 | |
| (912) 559-4011 | |
| Not Available |
| Full Name | Fresh Heads Savannah, LLC |
|---|---|
| Speciality | Clinic/center |
| Location | 1000 Us Highway 80 W, Pooler, Georgia |
| Authorized Official Name and Position | Whitney Manda Ottesen (OWNER) |
| Authorized Official Contact | 9042353157 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fresh Heads Savannah, LLC 653 Lake Stone Cir Ponte Vedra Beach FL 32082-4342 Ph: (904) 235-3157 | Fresh Heads Savannah, LLC 1000 Us Highway 80 W Pooler GA 31322-2114 Ph: (912) 559-4011 |
| NPI Number | 1811459258 |
|---|---|
| Provider Enumeration Date | 04/04/2019 |
| Last Update Date | 04/04/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811459258 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
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