Organization
MEDGALORE AESTHETICS & WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
L BARKER PA (MANAGER)
(678) 557-0207
Entity
Organization
Contact information
Practice address
6 CONSULTANT PL STE 100-A, DURHAM, NC 27707-3598
(919) 446-1113
Mailing address
2304 WINGATE RD UNIT 48613, CUMBERLAND, NC 28331-9005
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000
NONE
—
Enumeration date
01/26/2023
Last updated
08/31/2023
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