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Organization
MAURICE MEDICAL
Active
Organization
MAURICE MEDICAL
Active
Parent organization
GENTS GROOMING LOUNGE
Organization subpart
Yes
Provider details
NPI number
Legal business name
GENTS GROOMING LOUNGE
Authorized official
MR. MICHAEL ALLEN JR. (OWNER)
(678) 521-8245
Entity
Organization
Contact information
Practice address
2104 MAIN ST STE 13, PORTERDALE, GA 30014-3438
(678) 972-6944
Mailing address
2104 MAIN ST STE 13, PORTERDALE, GA 30014-3438
(678) 972-6944
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Enumeration date
04/29/2026
Last updated
04/29/2026
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