Organization
JACKSON GEORGE SALON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANGELA J RICKS MASTER COSMETOLOGIST (OWNER)
(404) 798-5927
Entity
Organization
Contact information
Practice address
4705 ASHFORD DUNWOODY RD SUITE A LOFT 2, DUNWOODY, GA 30338-8216
(770) 695-1491
Mailing address
2321 DUNWOODY XING APT D, ATLANTA, GA 30338-8216
(404) 798-5927
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
09/09/2025
Last updated
09/09/2025
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