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Organization

MICHELLES BEAUTY BAR

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHELLE HERRING (OWNER)
(229) 375-2547
Entity
Organization

Contact information

Practice address
3662 DRUID OAKS DR, VALDOSTA, GA 31605-6542
(229) 375-2547
(229) 375-2547
Mailing address
1412 E PARK AVE STE D, VALDOSTA, GA 31602-3224
(229) 375-2547
(229) 375-2547

Taxonomy

Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary

Other

Enumeration date
05/13/2020
Last updated
05/13/2020
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