Cosmo B Hair Salon

Primary specialty

Prosthetics Case ManagementTaxonomy code 1744P3200X

License

CO111737 Issued in GA

Legal business name

COSMO B HAIR SALON

Practice address

805 Shartom Dr
Augusta, GA 30907-4716

Phone

(706) 829-3396

NPI assigned

Apr 18, 2017

Organization subpart

No

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

Authorized official

Name

Brittany Crafton, CERTIFIED HAIR LOSS

Title

Certified Hair Loss Specialist

Phone

(706) 829-3396

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1492473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492473600000",
    "number": "1336673276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 SHARTOM DR",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309074716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 SHARTOM DR",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309074716",
            "telephone_number": "706-829-3396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COSMO B HAIR SALON",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-18",
        "last_updated": "2017-04-18",
        "status": "A",
        "authorized_official_last_name": "CRAFTON",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_title_or_position": "CERTIFIED HAIR LOSS SPECIALIST",
        "authorized_official_telephone_number": "706-829-3396",
        "authorized_official_credential": "CERTIFIED HAIR LOSS"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist, Prosthetics Case Management",
            "state": "GA",
            "license": "CO111737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zachary L Corley, MD
• William F Cornelison, PA
• Celine Joyce Cornelius Timothius, BDS, MS, MSD
• Matthew Jared Cornish, M.D.
• Lola Y Cosby, RN
• Sharon Newton Cosper, OTR-L
• Costco Wholesale Corporation
• Costco Wholesale Corporation
• Costco Wholesale Corporation
• Phyllis Pelfrey Costello, MSN

• All providers in Augusta, GA
• Prosthetics Case Management in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2017; 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.