Organization
SALON ELEGANCE HAIR STUDIO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE FERGUSON (CEO)
(770) 420-8110
Entity
Organization
Contact information
Practice address
2365 POWDER SPRINGS RD SW, MARIETTA, GA 30064-4567
(770) 420-8110
Mailing address
2365 POWDER SPRINGS RD SW, MARIETTA, GA 30064-4567
(770) 420-8110
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/08/2020
Last updated
08/05/2021
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