Salon 419 LLC

NPI #1063162493 in Augusta, Georgia

Provider Information

NPI Number: 1063162493
Entity Type: Organization
Organization Name: Salon 419 LLC
Primary Specialty: Durable Medical Equipment & Medical Supplies
Enumeration Date: Mar 28, 2022
Last Updated: Mar 28, 2022

Practice Location

Address: 2368 BARTON CHAPEL RD
City: Augusta
State: Georgia
ZIP Code: 30906-9064
Phone: (706) 496-8468

Authorized Official

Name: ANGELA REED
Title: OWNER
Phone: (706) 496-8468

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies	332B00000X	Primary

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