Organization
CELEBRITY FASHION HAIR INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATRYCE GOLLIDAY (CFO)
(770) 309-2929
Entity
Organization
Contact information
Practice address
3350 RIVERWOOD PKWY SE STE 1951, ATLANTA, GA 30339-6401
(770) 309-2929
Mailing address
1511 S COBB DR SE, MARIETTA, GA 30060-7414
(770) 309-2929
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
12/10/2019
Last updated
12/10/2019
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