Active NPI
Secret Tresses Wigs
- Durable Medical Equipment & Medical Supplies
- Pooler, GA
National Provider Identifier
1104692680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- SECRET TRESSES WIGS
- Practice address
- 128 Aquinnah Dr
Pooler, GA 31322-8276 - Phone
- (912) 484-0283
- NPI assigned
- Nov 27, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stefini Jones
- Title
- Owner
- Phone
- (912) 484-0283
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
128 Aquinnah Dr
Pooler, GA 31322-8276
Mailing address
128 Aquinnah Dr
Pooler, GA 31322-8276
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- Savannah, GA
- NPI 1891574398
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701043200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1701043200000",
"number": "1104692680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "128 AQUINNAH DR",
"city": "POOLER",
"state": "GA",
"postal_code": "313228276"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "128 AQUINNAH DR",
"city": "POOLER",
"state": "GA",
"postal_code": "313228276",
"telephone_number": "912-484-0283"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SECRET TRESSES WIGS",
"organizational_subpart": "NO",
"enumeration_date": "2023-11-27",
"last_updated": "2023-11-27",
"certification_date": "2023-11-27",
"status": "A",
"authorized_official_last_name": "JONES",
"authorized_official_first_name": "STEFINI",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "912-484-0283"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pooler, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.