Organization
SJ COOPER, LLC
Active
Other names
SJC Beauty
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHAUNTAE T COOPER MASTER COSMETOLOGIST (SPECIALIST)
(912) 233-7445
Entity
Organization
Contact information
Practice address
218 W VICTORY DR STE 9, SAVANNAH, GA 31405-1718
(912) 231-7445
Mailing address
801 W 40TH ST, SAVANNAH, GA 31415-8707
(912) 604-1172
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
04/03/2024
Last updated
04/03/2024
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