SHADAE RENEE MEDICAL WIGS

ROSWELL, GA
NPI1447860150
Entity TypeOrganization
Authorized ContactSHADAE GREEN
Owner
678-362-6469
Organization Subpart ?No
Primary Taxonomy335E00000X Prosthetic/Orthotic Supplier
Enumeration Date2020-08-06
Last Update Date2020-08-06
Business Address
SHADAE RENEE MEDICAL WIGS
10719 ALPHARETTA HWY # 1792
ROSWELL, GA 30076-2432
Phone number: 678-362-6469
Mailing Address
SHADAE RENEE MEDICAL WIGS
10719 ALPHARETTA HWY # 1792
ROSWELL, GA 30076-2432
Phone number: 678-362-6469