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Premium Lace Front Wigs
Customized Equipment (DME) in Kennesaw, Georgia
NPI 1750564472

Premium Lace Front Wigs is a Customized Equipment (DME) based in Kennesaw, GA and is specialized in Customized Equipment. Premium Lace Front Wigs practices in Kennesaw, GA. The NPI Number for Premium Lace Front Wigs is 1750564472 and holds a License No. (Georgia).

The current practice location address for Premium Lace Front Wigs is 3166 Cherokee St Nw, Kennesaw, GA and can be reached out via phone at 404-474-3187.

Location: 3166 Cherokee St Nw, Kennesaw, GA, 30144-2883
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1750564472
Provider Name
Premium Lace Front Wigs
Credential
Provider Entity Type
Organization
Address
3166 Cherokee St Nw, Kennesaw, GA, 30144-2883
Phone Number
404-474-3187
Fax Number
Provider Enumeration Date
12/17/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3166 Cherokee St Nw
City
Kennesaw
State
Georgia
Zip
30144-2883
Phone Number
404-474-3187
Fax Number
person
Provider Business Mailing Address Details
Address
3166 Cherokee St Nw
City
Kennesaw
State
Georgia
Zip
30144-2883
Phone Number
404-474-3187
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Customized Equipment
Taxonomy
332BC3200X
License No.
(Georgia)
Definition
Definition to come...
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