NPI 1023630928

Michelles Beauty Bar

Organisation Prosthetic/Orthotic Supplier Valdosta, GA

Practice location

Address: 3662 Druid Oaks Dr, Valdosta, GA 31605-6542
Phone: (229) 375-2547
Fax: (229) 375-2547
Mailing address: 1412 E Park Ave STE D, Valdosta, GA 31602-3224

Authorised official

Name: Michelle Herring
Title: Owner
Phone: (229) 375-2547

Registered specialties

Prosthetic/Orthotic Supplier Primary

Suppliers Taxonomy 335E00000X

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Registry record

NPI: 1023630928
Entity type: Organization
NPI issued: 13 May 2020
Record last updated: 13 May 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.