Organization
I SPY HER WIGS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS JALISA L SPY (CEO)
(614) 999-3665
Entity
Organization
Contact information
Practice address
1720 CUMBERLAND POINT DR SE STE 20, MARIETTA, GA 30067-9204
(614) 999-3665
Mailing address
1720 CUMBERLAND POINT DR SE STE 20, MARIETTA, GA 30067-9204
(614) 999-3665
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
02/07/2022
Last updated
09/14/2024
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