NPI 1033657143

Glam She LLC

Organisation Point of Service Douglasville, GA

Practice location

Address: 4070 San Marco Way, Douglasville, GA 30135-2769
Phone: (404) 434-6689

Authorised official

Name: Frenchell Jackson
Title: Owner
Phone: (404) 434-6689

Registered specialties

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X Licence CO131281 (GA)

Other Point of Service providers in Georgia →

Registry record

NPI: 1033657143
Entity type: Organization
NPI issued: 9 Feb 2017
Record last updated: 9 Feb 2017

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.