Organization
GLAZED SKIN STUDIO LLC
Active
Other names
Mint Skin Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
SHAUNA JEFFCOAT LE, CPT (MANAGING AESTHETICIAN)
(678) 524-5147
Entity
Organization
Contact information
Practice address
2215 SMYRNA RD SW, CONYERS, GA 30094-6170
(678) 524-5147
Mailing address
2215 SMYRNA RD SW, CONYERS, GA 30094-6170
(678) 524-5147
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
08/07/2025
Last updated
08/07/2025
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