Organization
PAMELA RENE LUXURIOUS HAIR SALON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAMELA RENE HALL MASTER COSMETOLOGIST (OWNER)
(404) 831-8521
Entity
Organization
Contact information
Practice address
1151 HAMMOND DR NE, SUITE 200, ATLANTA, GA 30346-1524
(404) 831-8521
Mailing address
1151 HAMMOND DR, SUITE 200, ATLANTA, GA 30346
(404) 831-8521
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
CASA048619
GA
Other
Enumeration date
03/07/2013
Last updated
03/07/2013
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