Shadae Renee Medical Wigs
Shadae Renee Medical Wigs is a Prosthetic/Orthotic Supplier in Roswell, Georgia. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
10719 Alpharetta Hwy # 1792Roswell, GA 30076-2432
Phone: (678) 362-6469
Fax: (678) 325-2731
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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 number | 1447860150 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Shadae Green — Owner · (678) 362-6469 |
| NPI enumerated | August 6, 2020 |
| Last updated in NPPES | August 6, 2020 |
| Certification date | August 6, 2020 |
| Mailing address | 10719 Alpharetta Hwy # 1792, Roswell, GA 30076-2432 |
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