Organization
DDSDREAM,LLC
Active
Other names
Womans Touch 2
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DIANA SUE HURST (CEO/OWNER)
(770) 606-9293
Entity
Organization
Contact information
Practice address
112 MERCHANTS SQUARE DR, CARTERSVILLE, GA 30121-2258
(770) 606-9293
(770) 606-8113
Mailing address
112 MERCHANTS SQUARE DR, CARTERSVILLE, GA 30121-2258
(770) 606-9293
(770) 606-8113
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
15023813
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7415370001
PTAN
GA
Enumeration date
03/21/2015
Last updated
11/05/2015
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