Michelles Beauty Bar

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

MICHELLES BEAUTY BAR

Practice address

3662 Druid Oaks Dr
Valdosta, GA 31605-6542

Phone

(229) 375-2547

Fax

(229) 375-2547

NPI assigned

May 13, 2020

Organization subpart

No

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

Authorized official

Name

Michelle Herring

Title

Owner

Phone

(229) 375-2547

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1589328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589328000000",
    "number": "1023630928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1412 E PARK AVE STE D",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316023224",
            "telephone_number": "229-375-2547",
            "fax_number": "229-375-2547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3662 DRUID OAKS DR",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316056542",
            "telephone_number": "229-375-2547",
            "fax_number": "229-375-2547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELLES BEAUTY BAR",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-13",
        "last_updated": "2020-05-13",
        "certification_date": "2020-05-13",
        "status": "A",
        "authorized_official_last_name": "HERRING",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "229-375-2547"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "2293752547",
            "affiliation": "N",
            "endpointDescription": "Fax #",
            "address_1": "3662 Druid Oaks Dr",
            "city": "Valdosta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "316056542",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jennifer Mercedes Metivier, LCSW
• Eli Metts, NP-C
• Stephen N Neil Meyers, MD
• Irma Mezquital-Trejo, RBT
• Keegan Anne Michel, MD
• Catherine Isabelle Mickler, D.C.
• Midwife Me LTD
• Mile Marking Logistics LLC & Enterprises
• Melissa Kelly Milicevic, NP
• Martha Nelly Millan Sanchez, MD

• Prosthetic/Orthotic Supplier in Valdosta, GA
• Providers in Valdosta, GA by specialty
• Prosthetic/Orthotic Supplier in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2020; 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.