Organization Active NPI

Unique Wigs & Beauty Supply, Inc.

  • Prosthetic/Orthotic Supplier
  • Roswell, GA
National Provider Identifier
1467844274
Registry record updated Mar 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
UNIQUE WIGS & BEAUTY SUPPLY, INC.
Practice address
10930 Crabapple Rd
Suite 23
Roswell, GA 30075-5813
Phone
(770) 552-5811
NPI assigned
Mar 3, 2015
Last updated
Mar 3, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2015

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

Authorized official

Name
Ms. Tommie McDermott
Title
President
Phone
(770) 552-5811

Specialties & licenses 1

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

Addresses

Primary practice location

10930 Crabapple Rd
Suite 23
Roswell, GA 30075-5813

Mailing address

10930 Crabapple Rd
Suite 23
Roswell, GA 30075-5813
Phone (770) 552-5811

National Provider Directory

National Provider Directory

Locations

10930 Crabapple Rd
Ste 23
Roswell, GA 30075
Phone (770) 552-5811

NPI Registry JSON

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

{
    "created_epoch": "1425340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425340800000",
    "number": "1467844274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10930 CRABAPPLE RD",
            "address_2": "SUITE 23",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300755813",
            "telephone_number": "770-552-5811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10930 CRABAPPLE RD",
            "address_2": "SUITE 23",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300755813",
            "telephone_number": "770-552-5811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIQUE WIGS & BEAUTY SUPPLY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-03",
        "last_updated": "2015-03-03",
        "status": "A",
        "authorized_official_last_name": "MCDERMOTT",
        "authorized_official_first_name": "TOMMIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-552-5811",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2015; 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.