Glam Queen, LLC

NPI #1134827769 in Butler, Georgia

Provider Information

NPI Number
1134827769
Entity Type
Organization
Organization Name
Glam Queen, LLC
Primary Specialty
Clinical Medical Laboratory
Enumeration Date
Feb 22, 2023
Last Updated
Feb 22, 2023

Practice Location

Address
13 PEACH ST
City
Butler
State
Georgia
ZIP Code
31006-5338
Phone
(478) 391-3220

Authorized Official

Name
LENA AGNES SHIELDS
Title
OWNER
Phone
(478) 391-3220

Specialties & Taxonomy Codes

Specialty
Clinical Medical Laboratory

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