Premium Lace Front Wigs in Kennesaw - Customized Equipment
Premium Lace Front Wigs - NPI 1750564472
Premium Lace Front Wigs is a Customized Equipment in Kennesaw, Georgia. Premium Lace Front Wigs practices all healthcare services and medical treatments related to Customized Equipment. The NPI Number for Premium Lace Front Wigs is 1750564472. The last update date is 2007-12-17.
Premium Lace Front Wigs's current location address is 3166 Cherokee St Nw, Kennesaw, Georgia. You can contact this provider via phone number 4044743187. The mailing address for Premium Lace Front Wigs is 3166 Cherokee St Nw, Kennesaw, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Premium Lace Front Wigs |
|---|---|
| Address | 3166 Cherokee St Nw, Kennesaw, Georgia |
| Phone Number | 4044743187 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Barnes Juanita |
| Telephone Number | 4044743187 |
NPI Number Detail
| NPI Number | 1750564472 |
|---|---|
| Provider Enumeration Date | 2007-12-17 |
| Last Updated Date | 2007-12-17 |
Provider Mailing Address Detail
| Address | 3166 Cherokee St Nw |
|---|---|
| City | Kennesaw |
| State | Georgia (GA) |
| Post Code | 301442883 |
| Phone Number | 4044743187 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Customized Equipment |
|---|---|
| Taxonomy | 332Bc3200X |
|
Definition: Custom-made durable medical equipment prescribed by a provider to meet a patient’s unique needs. |
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What is the unique identifier code issued to Premium Lace Front Wigs by the Centers for Medicare & Medicaid Services?
The Premium Lace Front Wigs has been assigned the NPI (National Provider Identifier) 1750564472. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Premium Lace Front Wigs's physical address?
The Premium Lace Front Wigs is physically located at 3166 Cherokee St Nw, in the city of Kennesaw, GA, with the postal code 301442883.
What is Premium Lace Front Wigs's area of expertise and its corresponding taxonomy classification?
The Premium Lace Front Wigs's field of specialization is Customized Equipment, and it falls under the taxonomy code 332Bc3200X, which categorizes healthcare providers based on their areas of practice.
When was the Premium Lace Front Wigs's 1750564472 issued?
The Premium Lace Front Wigs's 1750564472 was issued on 2007-12-17.
When was the information regarding Premium Lace Front Wigs, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Premium Lace Front Wigs, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-12-17.
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