Organization
SALON WYGS
Active
Organization
SALON WYGS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KI EDWARDS (OWNER)
(205) 365-3897
Entity
Organization
Contact information
Practice address
2236 CAHABA VALLEY DR, BIRMINGHAM, AL 35242-2671
(205) 365-3897
Mailing address
3548 OVERTON RD, VESTAVIA, AL 35223-2234
(205) 365-3897
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
08/30/2016
Last updated
08/30/2016
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