Organization
EVELYN RAY LLC
Active
Other names
Evelyn Ray Hair Co.
Organization subpart
No
Provider details
NPI number
Authorized official
TAMI WILLIAMS (OWNER)
(404) 956-9949
Entity
Organization
Contact information
Practice address
12570 LAKESIDE PKWY, FAYETTEVILLE, GA 30215-4002
(404) 946-9949
Mailing address
12570 LAKESIDE PKWY, FAYETTEVILLE, GA 30215-4002
(404) 946-9949
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
07/12/2019
Last updated
07/12/2019
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