Organization
SIMPLY IRRESISTIBLE WOMAN, LLC
Active
Other names
Color Me Pink
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JUDY A MASON (SINGLE MANAGER)
(478) 953-1377
Entity
Organization
Contact information
Practice address
115 MARGIE DR STE D, WARNER ROBINS, GA 31093-7582
(478) 953-1377
(478) 971-1646
Mailing address
115 MARGIE DR STE D, WARNER ROBINS, GA 31093-7582
(478) 953-1377
(478) 971-1646
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6029780001
PROVIDER TRANSACTION ACCESS NUMBER
GA
Enumeration date
10/18/2007
Last updated
05/16/2011
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