Organization
SALON 419 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA REED (OWNER)
(706) 496-8468
Entity
Organization
Contact information
Practice address
2368 BARTON CHAPEL RD, AUGUSTA, GA 30906-9064
(706) 496-8468
Mailing address
2557 RICHMOND HILL RD, AUGUSTA, GA 30906-2852
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/28/2022
Last updated
03/28/2022
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