Organization
VINTAGE HAIR SALON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICE Y BIDGOOD SPECIALIST (OWNER)
(704) 236-3156
Entity
Organization
Contact information
Practice address
2925 E INDEPENDENCE BLVD # 53, CHARLOTTE, NC 28205-7034
(704) 236-3156
Mailing address
2000 ST LUKE ST, CHARLOTTE, NC 28216-4837
(704) 236-3156
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
09/02/2024
Last updated
05/09/2025
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