Organization Active NPI

Beauty Zone2 Medical Wigs

  • Prosthetic/Orthotic Supplier
  • McDonough, GA
National Provider Identifier
1114535432
Registry record updated Jul 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
BEAUTY ZONE2 MEDICAL WIGS
Practice address
252 Keys Ferry St
McDonough, GA 30253-3342
Phone
(404) 858-1119
Fax
(470) 517-3807
NPI assigned
Jul 22, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2020

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

Authorized official

Name
Lechosia Lechosia
Title
Owner
Phone
(404) 858-1119

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

252 Keys Ferry St
McDonough, GA 30253-3342

Mailing address

252 Keys Ferry St
McDonough, GA 30253-3342
Phone (404) 858-1119

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL 4705173807

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1595376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595376000000",
    "number": "1114535432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "252 KEYS FERRY ST",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302533342",
            "telephone_number": "404-858-1119",
            "fax_number": "470-517-3807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "252 KEYS FERRY ST",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302533342",
            "telephone_number": "404-858-1119",
            "fax_number": "470-517-3807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAUTY ZONE2 MEDICAL WIGS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-22",
        "last_updated": "2020-07-22",
        "certification_date": "2020-07-22",
        "status": "A",
        "authorized_official_last_name": "LECHOSIA",
        "authorized_official_first_name": "LECHOSIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-858-1119"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "4705173807",
            "affiliation": "N",
            "endpointDescription": "fax#",
            "address_1": "252 Keys Ferry St",
            "city": "McDonough",
            "state": "GA",
            "country_code": "US",
            "postal_code": "302533342",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in McDonough, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.