Organization
KALIE DARNELL HAIR TEAM
Active
Other names
Kalie Darnell Hair Designs Salon
Organization subpart
No
Provider details
NPI number
Authorized official
KALIE D RICHARDSON CERTIFIED (SPECIALIST)
(678) 520-8392
Entity
Organization
Contact information
Practice address
425 SIGMAN RD NW, SUITE 120, CONYERS, GA 30012-3635
(678) 520-8392
Mailing address
425 SIGMAN RD NW, SUITE 120, CONYERS, GA 30012-3635
(678) 520-8392
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
CO092929
GA
Other
Enumeration date
02/26/2015
Last updated
02/26/2015
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