ETHERIC GLO & CO.LLC NPI 1568143972

NPI Information

NPI: 1568143972
Provider Name: ETHERIC GLO & CO.LLC

Doing Business As: ETHERIC GLO BEAUTY & WELLNESS

Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
10955 JONES BRIDGE RD STE 126
JOHNS CREEK, GA
ZIP 30022
Phone: (404) 260-0077
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ETHERIC GLO & CO.LLC is a health service clinic center in Johns Creek, GA. ETHERIC GLO & CO.LLC NPI is 1568143972. The provider is registered as an organization entity type.
The provider Is Doing Business As Etheric Glo Beauty & Wellness.

The provider's business location address is:

10955 JONES BRIDGE RD STE 126
JOHNS CREEK, GA
ZIP 30022-343
Phone: (404) 260-0077

The provider's authorized official is Julia Teresa Watkins .
The authorized official title is Ceo and has the following contact phone number (803) 487-6830.

The enumeration date for this NPI number is 7/27/2023 and was last updated on 7/28/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QH0100X	Clinic/Center	Health Service			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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