Organization
MAJESTIC PEACOCK LLC
Active
Other names
Lice Clinics of America - Williamson County
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH WEST (OWNER)
(804) 218-4232
Entity
Organization
Contact information
Practice address
330 MALLORY STATION RD STE F17, FRANKLIN, TN 37067-2861
(615) 314-2479
Mailing address
330 MALLORY STATION RD STE F17, FRANKLIN, TN 37067-2861
(615) 314-2479
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
08/10/2024
Last updated
08/10/2024
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