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Modish Beaute Llc
Prosthetic/Orthotic Supplier in Locust Grove, Georgia
NPI 1154020865

Modish Beaute Llc is a Prosthetic/Orthotic Supplier based in Locust Grove, GA. Modish Beaute Llc practices in Locust Grove, GA. The NPI Number for Modish Beaute Llc is 1154020865 and holds a License No. (Georgia).

The current practice location address for Modish Beaute Llc is 532 Moline Way, Locust Grove, GA and can be reached out via phone at 321-863-2589 and via fax at 321-406-1325.

Location: 532 Moline Way, Locust Grove, GA, 30248-4471
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1154020865
Provider Name
Modish Beaute Llc
Credential
Provider Entity Type
Organization
Address
532 Moline Way, Locust Grove, GA, 30248-4471
Phone Number
321-863-2589
Fax Number
321-406-1325
Provider Enumeration Date
03/01/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
532 Moline Way
City
Locust Grove
State
Georgia
Zip
30248-4471
Phone Number
321-863-2589
Fax Number
321-406-1325
person
Provider Business Mailing Address Details
Address
532 Moline Way
City
Locust Grove
State
Georgia
Zip
30248-4471
Phone Number
321-863-2589
Fax Number
321-406-1325
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
()
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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