OrganizationActive
Artisan Beauty Salon LLC
NPI 1649935065 · Prosthetic/Orthotic Supplier · Lagrange, GA
Provider details
- NPI number
- 1649935065
- Entity type
- Organization
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Era Russell, Owner(762) 323-7874
Specialties & taxonomies
Suppliers
Practice location
2170 W Point Rd Ste 36
Lagrange, GA 30240-4060
Phone: (762) 323-7874
Fax: (706) 756-8779
Approximate (ZIP-level) locationGet directions
Mailing address
2170 W Point Rd Ste 36
Lagrange, GA 30240-4060
Other names (DBA / former)
- Doing business as
- Artisan Beauty Rx
Registry dates
- Enumerated
- 2021-11-01
- Last updated
- 2021-11-01
- Certified
- 2021-11-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.