Organization
GLAMOROUS BEAUTIQUE RX
Active
Other names
Glamorous Beautique LLC
Organization subpart
No
Provider details
NPI number
Authorized official
SHARONDA DAVIS (OWNER)
(770) 568-7510
Entity
Organization
Contact information
Practice address
4735 SHARON RD # 120, CHARLOTTE, NC 28210-3327
(770) 568-7510
Mailing address
1646 W HWY SUITE 160 105 #352, FORT MILL, SC 29708
(770) 568-7510
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
07/17/2023
Last updated
07/17/2023
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