NPI 1427423771

Eye Kandy Lashes Beauty Bar & Boutique

Organisation Health Maintenance Organization Marietta, GA

Practice location

Address: 2365 Powder Springs Rd SW Suite 1215, Marietta, GA 30064-4567
Phone: (770) 702-5663
Fax: (678) 902-6833

Authorised official

Name: Corrine Sharon Knight
Title: Owner
Phone: (770) 865-3111

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence COSA051935 (GA)

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Registry record

NPI: 1427423771
Entity type: Organization
NPI issued: 10 Dec 2015
Record last updated: 10 Dec 2015

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.