Plush Rose a Blowout Bar Salon Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

PLUSH ROSE A BLOWOUT BAR SALON INC.

Practice address

2534 Wynnton Rd Ste B
Columbus, GA 31906-2180

Phone

(706) 317-2115

NPI assigned

Apr 17, 2019

Organization subpart

No

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

Authorized official

Name

Mrs. Kimberly Sherell Gore

Title

Ceo

Phone

(470) 898-9454

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1555459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608076800000",
    "number": "1033772868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2534 WYNNTON RD STE B",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319062180",
            "telephone_number": "706-317-2115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2534 WYNNTON RD STE B",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319062180",
            "telephone_number": "706-317-2115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLUSH ROSE A BLOWOUT BAR SALON INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-17",
        "last_updated": "2020-12-16",
        "certification_date": "2020-12-16",
        "status": "A",
        "authorized_official_last_name": "GORE",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "SHERELL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "470-898-9454",
        "authorized_official_name_prefix": "Mrs."
    },
    "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 Columbus, GA
• Providers in Columbus, GA by specialty
• Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.