Most Relevant Information
Provider Data
| NPI Number: | 1003289976 |
| Provider Name: | DENEKA MCMILLAN CERTIFIED HAIR LOSS |
| Entity Type: | Individual |
| Taxonomy Code: | 1744P3200X |
| Specialty: | Specialist |
| License Number: | C64516 |
Most Important Dates
| Enumeration Date: | 11/02/2015 |
| Last Updated: | 11/02/2015 |
Provider Practice Location
3441 NORTH MAIN STREET
HOPEMILLS
NC
28348
Practice Location Phone/Fax
| Phone: | 9104870001 |
| Fax: |
Provider Mailing Location
5259 HEATHER STREET
HOPEMILLS
NC
28348
Provider Mailing Phone/Fax
| Phone: | 9102612634 |
| Fax: |