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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

OCTAVIA HEAD, RBT

Active Sole Proprietor

OCTAVIA HEAD, RBT is a Clinic/Center healthcare provider located in MCDONOUGH, Georgia. NPI 1316543036 is currently active in the NPPES registry. Verify at CMS.

Clinic/Center · MCDONOUGH, GA

Registration Details

NPI Number
1316543036
Provider Type
Individual
Gender
Female
NPI Issued
Dec 8, 2020 (5.700547795695 yrs)
Last Updated
Dec 8, 2020
Sole Proprietor
Yes

Practice Information

Address
382 RACETRACK RD
MCDONOUGH, GA, 302521022
Browse GA providers · Browse ZIP 30252
Phone
6786912206
Primary Specialty
Clinic/Center
261Q00000X

Other Clinic/Center Providers in MCDONOUGH, GA

Name Credential NPI
MR. BRANDON TAYLOR 1760020630
ERICKA ROBERTS LMT 1629886148
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.