Organization
ETHERIC GLO & CO.LLC
Active
Parent organization
ETHERIC GLO & CO. LLC
Other names
Etheric Glo Beauty & Wellness
Organization subpart
Yes
Provider details
NPI number
Legal business name
ETHERIC GLO & CO. LLC
Authorized official
JULIA TERESA WATKINS RN (CEO)
(803) 487-6830
Entity
Organization
Contact information
Practice address
10955 JONES BRIDGE RD STE 126, JOHNS CREEK, GA 30022-7343
(404) 260-0077
Mailing address
10955 JONES BRIDGE RD STE 126, JOHNS CREEK, GA 30022-7343
(404) 260-0077
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
07/27/2023
Last updated
07/28/2023
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