Organization
ICON HAIR AND WIGS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONI NEAL (OWNER)
(770) 870-0047
Entity
Organization
Contact information
Practice address
481B FLAT SHOALS AVE SE, ATLANTA, GA 30316-1913
(770) 870-0047
Mailing address
481B FLAT SHOALS AVE SE, ATLANTA, GA 30316-1913
(770) 870-0047
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
04/29/2019
Last updated
04/29/2019
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