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Crowned Goddess Luxury Virgin Hair
Prosthetic/Orthotic Supplier in Atlanta, Georgia
NPI 1780312884

Crowned Goddess Luxury Virgin Hair is a Prosthetic/Orthotic Supplier based in Atlanta, GA. Crowned Goddess Luxury Virgin Hair practices in Atlanta, GA. The NPI Number for Crowned Goddess Luxury Virgin Hair is 1780312884 and holds a License No. (Georgia).

The current practice location address for Crowned Goddess Luxury Virgin Hair is 3565 Martin Luther King Dr Sw Ste 9, Atlanta, GA and can be reached out via phone at 404-699-0025.

Location: 3565 Martin Luther King Dr Sw Ste 9, Atlanta, GA, 30331-4016
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1780312884
Provider Name
Crowned Goddess Luxury Virgin Hair
Credential
Provider Entity Type
Organization
Address
3565 Martin Luther King Dr Sw Ste 9, Atlanta, GA, 30331-4016
Phone Number
404-699-0025
Fax Number
Provider Enumeration Date
08/08/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
3565 Martin Luther King Dr Sw Ste 9
City
Atlanta
State
Georgia
Zip
30331-4016
Phone Number
404-699-0025
Fax Number
person
Provider Business Mailing Address Details
Address
3565 Martin Luther King Dr Sw Ste 9
City
Atlanta
State
Georgia
Zip
30331-4016
Phone Number
404-699-0025
Fax Number
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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