Organization
CHAN MAR HOLISTIC HAIR & WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHANTAY T MARDNER (OWNER)
(470) 861-5798
Entity
Organization
Contact information
Practice address
4531 OLDE PERIMETER WAY STE 201, DUNWOODY, GA 30346-4208
(470) 861-5798
Mailing address
115 ARBOR LAKE DR, COVINGTON, GA 30016-0288
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
10/24/2022
Last updated
10/24/2022
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