Organization · NPI-2

Beautifulll Wigs, LLC

Prosthetic/Orthotic Supplier · Atlanta, GA

NPI number1174197834
StatusActive
Last updated in NPPESMay 18, 2021

Details

NPI
1174197834
Entity type
Organization (NPI-2)
Legal business name
Beautifulll Wigs, LLC
Organization subpart
No
Enumeration date
May 18, 2021
Certification date
May 18, 2021
Last updated
May 18, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
335E00000X Prosthetic/Orthotic Supplier––Yes

Practice location

1700 Northside Dr Nw Ste A7
Atlanta, GA 30318-2695

Phone 404-904-8731

Mailing address

751 Fairburn Rd Sw Apt 5333
Atlanta, GA 30331-8560

Phone 404-904-8731

Authorized official

Ashley Elliott
Owner
4049048731

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