Organization
DIAMOND CROWN BEAUTY BAR
Active
Other names
DCBB Medical Wigs
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAUNCA LAWSON (CRANIAL PROSTHESIS SPECIALIST)
(770) 374-2467
Entity
Organization
Contact information
Practice address
1220 TO LANI CT, STONE MOUNTAIN, GA 30083
(770) 374-2467
Mailing address
1220 TO LANI CT, STONE MOUNTAIN, GA 30083-5355
(770) 374-2467
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
05/03/2021
Last updated
05/03/2021
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