Organization
ARTISAN BEAUTY SALON LLC
Active
Other names
Artisan Beauty Rx
Organization subpart
No
Provider details
NPI number
Authorized official
ERA RUSSELL (OWNER)
(762) 323-7874
Entity
Organization
Contact information
Practice address
2170 W POINT RD STE 36, LAGRANGE, GA 30240-4060
(762) 323-7874
(706) 756-8779
Mailing address
2170 W POINT RD STE 36, LAGRANGE, GA 30240-4060
(762) 323-7874
(706) 756-8779
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
11/01/2021
Last updated
11/01/2021
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