Beyond the Follicle Hair Restoration Center LLC

Primary specialty

Prosthetics Case ManagementTaxonomy code 1744P3200X

License

CO059153 Issued in GA

Legal business name

BEYOND THE FOLLICLE HAIR RESTORATION CENTER LLC

Practice address

211 Bobby Jones Expy Ste C
Martinez, GA 30907-5253

Phone

(706) 691-8815

NPI assigned

Jun 14, 2016

Organization subpart

No

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

Authorized official

Name

Ms. Beurena Johnson

Title

President

Phone

(706) 691-8815

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1465862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465862400000",
    "number": "1629428446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 672",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309030672",
            "telephone_number": "706-691-8815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 BOBBY JONES EXPY STE C",
            "city": "MARTINEZ",
            "state": "GA",
            "postal_code": "309075253",
            "telephone_number": "706-691-8815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEYOND THE FOLLICLE HAIR RESTORATION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-14",
        "last_updated": "2016-06-14",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "BEURENA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "706-691-8815",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist, Prosthetics Case Management",
            "state": "GA",
            "license": "CO059153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Prosthetics Case Management in Martinez, GA
• Providers in Martinez, GA by specialty
• Prosthetics Case Management in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2016; 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.