Miaz Hair Gallery

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

MIAZ HAIR GALLERY

Practice address

1031 Railroad St NW Ste C
Conyers, GA 30012-5108

Phone

(770) 783-1878

NPI assigned

Nov 11, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jamiela Odum

Title

Owner

Phone

(770) 783-1878

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1573430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573430400000",
    "number": "1013552371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 906",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300120906",
            "telephone_number": "770-783-1878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1031 RAILROAD ST NW STE C",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300125108",
            "telephone_number": "770-783-1878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIAZ HAIR GALLERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-11",
        "last_updated": "2019-11-11",
        "status": "A",
        "authorized_official_last_name": "ODUM",
        "authorized_official_first_name": "JAMIELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-783-1878"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Conyers, GA
• Providers in Conyers, GA by specialty
• Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.