Active NPI
Celebrity Fashion Hair Inc
- Prosthetic/Orthotic Supplier
- Atlanta, GA
National Provider Identifier
1376180257
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- CELEBRITY FASHION HAIR INC
- Practice address
- 3350 Riverwood Pkwy SE Ste 1951
Atlanta, GA 30339-6401 - Phone
- (770) 309-2929
- NPI assigned
- Dec 10, 2019
- 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
- Latryce Golliday
- Title
- Cfo
- Phone
- (770) 309-2929
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Customized Equipment (DME) | 332BC3200X | |||
| Prosthetic/Orthotic Supplier | 335E00000X | Primary |
Addresses
Primary practice location
3350 Riverwood Pkwy SE Ste 1951
Atlanta, GA 30339-6401
Mailing address
1511 S Cobb Dr SE
Marietta, GA 30060-7414
Phone (770) 309-2929
National Provider Directory
National Provider DirectoryLocations
3350 Riverwood Pkwy SE
Ste 1951
Atlanta, GA 30339
Phone (770) 309-2929
1511 S Cobb Dr SE
Marietta, GA 30060
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1575936000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1575936000000",
"number": "1376180257",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1511 S COBB DR SE",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300607414",
"telephone_number": "770-309-2929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3350 RIVERWOOD PKWY SE STE 1951",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303396401",
"telephone_number": "770-309-2929"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CELEBRITY FASHION HAIR INC",
"organizational_subpart": "NO",
"enumeration_date": "2019-12-10",
"last_updated": "2019-12-10",
"certification_date": "2019-12-10",
"status": "A",
"authorized_official_last_name": "GOLLIDAY",
"authorized_official_first_name": "LATRYCE",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "770-309-2929"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"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": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.