Organization
SALON ASYA MIGNON LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASYA BUTLER (OWNER)
(404) 668-8287
Entity
Organization
Contact information
Practice address
4290 MEMORIAL DR STE B1, DECATUR, GA 30032-1225
(404) 668-8287
(470) 486-6700
Mailing address
4290 MEMORIAL DR STE B1, DECATUR, GA 30032-1225
(404) 668-8287
(470) 486-6700
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
06/07/2020
Last updated
06/07/2020
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