Hair Extension Studio

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

HAIR EXTENSION STUDIO

Practice address

4485 Tench Rd Ste 130
Suwanee, GA 30024-6738

Phone

(404) 723-9721

NPI assigned

Mar 13, 2013

Last updated

Mar 15, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Valgenice Liddell

Title

Ceo

Phone

(404) 723-9721

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1363132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363305600000",
    "number": "1346581493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4485 TENCH RD STE 130",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300246738",
            "telephone_number": "404-723-9721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4485 TENCH RD STE 130",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300246738",
            "telephone_number": "404-723-9721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAIR EXTENSION STUDIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-13",
        "last_updated": "2013-03-15",
        "status": "A",
        "authorized_official_last_name": "LIDDELL",
        "authorized_official_first_name": "VALGENICE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-723-9721",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Trey Haddock
• Anisa Lee Hailey, DMD
• Hakim LLC
• Ashley S Hale, NP-C
• Michelle Foster Hall, DNP, FNP-C
• Nicole Loraine Hall
• Riley Halverson, RBT

• Durable Medical Equipment & Medical Supplies in Suwanee, GA
• Providers in Suwanee, GA by specialty
• Durable Medical Equipment & Medical Supplies in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2013; 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.