Jazzy Wigs, RX
Organization Active NPI Prosthetic/Orthotic Supplier · Richland, GA
NPI 1093332009 · NPPES record last updated Jun 25, 2020
Key facts
- NPI
- 1093332009
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Prosthetic/Orthotic Supplier 335E00000X
- Legal business name
- JAZZY WIGS, RX
- Practice address
- 59 Urey Emerson Dr
Richland, GA 31825-6636 - Phone
- (706) 392-7756
- Fax
- (770) 407-6654
- NPI assigned
- Jun 25, 2020
- Organization subpart
- No
Authorized official
- Name
- Jasmine Pollard
- Title
- Owner
- Phone
- (706) 392-7756
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | Yes |
Addresses
Primary practice location
59 Urey Emerson Dr
Richland, GA 31825-6636
Mailing address
59 Urey Emerson Dr
Richland, GA 31825-6636
Phone (706) 392-7756
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | 7704076654 |
Other providers in Richland, GA
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- Ieacha Shahara Jackson
- Sharon Jones
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- Rebecca Shepherd Ohearn
- Erin Nicole Pate
All providers in Richland, GA · Prosthetic/Orthotic Supplier in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 25, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.