Organization
ZEPHYR SALON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DERHYL MIDDLETON (SOLE PROPRIETOR)
(770) 873-6448
Entity
Organization
Contact information
Practice address
335 HAMMOND DR, ATLANTA, GA 30328-5020
(404) 255-2737
Mailing address
3834 BROWN DR, DECATUR, GA 30034-5802
(770) 873-6448
(770) 686-5968
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
04/13/2016
Last updated
04/13/2016
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