Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Modish Beaute LLC

Organization Prosthetic/Orthotic Supplier · NPI 1154020865

Modish Beaute LLC is a Prosthetic/Orthotic Supplier in Locust Grove, Georgia. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

532 Moline Way
Locust Grove, GA 30248-4471
Phone: (321) 863-2589
Fax: (321) 406-1325
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthetic/Orthotic Supplier (primary) Taxonomy 335E00000X

Record details

NPI number1154020865
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Octavia Lyons — Manager · (321) 863-2589
NPI enumeratedMarch 1, 2023
Last updated in NPPESMarch 1, 2023
Certification dateMarch 1, 2023
Mailing address532 Moline Way, Locust Grove, GA 30248-4471

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