Organization
MIAZ HAIR GALLERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIELA ODUM (OWNER)
(770) 783-1878
Entity
Organization
Contact information
Practice address
1031 RAILROAD ST NW STE C, CONYERS, GA 30012-5108
(770) 783-1878
Mailing address
PO BOX 906, CONYERS, GA 30012-0906
(770) 783-1878
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
11/11/2019
Last updated
11/11/2019
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