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Organization
SALON MOODZ
Active
Organization
SALON MOODZ
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEVERLY ANDERSON SPECIALIST (OWNER)
(770) 696-5830
Entity
Organization
Contact information
Practice address
7173 COVINGTON HWY STE F2, LITHONIA, GA 30058-7616
(770) 696-5830
Mailing address
2945 ROSEBUD RD APT 406, LOGANVILLE, GA 30052-8951
(770) 696-5830
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
05/08/2023
Last updated
05/08/2023
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