Organization
BEAUTY ZONE2 MEDICAL WIGS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LECHOSIA LECHOSIA (OWNER)
(404) 858-1119
Entity
Organization
Contact information
Practice address
252 KEYS FERRY ST, MCDONOUGH, GA 30253-3342
(404) 858-1119
(470) 517-3807
Mailing address
252 KEYS FERRY ST, MCDONOUGH, GA 30253-3342
(404) 858-1119
(470) 517-3807
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
07/22/2020
Last updated
07/22/2020
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