Ebony Williams, HAIR LOSS SPECIALIST

Primary specialty

Prosthetics Case ManagementTaxonomy code 1744P3200X

License

C0105979 Issued in GA

Practice address

5280 Buford Hwy NE Ste B
Doraville, GA 30340-1117

Phone

(770) 686-0494

NPI assigned

Aug 22, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hey Girly Hair LLC

  • Prosthetics Case Management
  • Doraville, GA
  • NPI 1104582980
  NPD Authorized official

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

{
    "created_epoch": "1629590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629590400000",
    "number": "1679249395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5280 BUFORD HWY NE STE B",
            "city": "DORAVILLE",
            "state": "GA",
            "postal_code": "303401117",
            "telephone_number": "770-686-0494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5280 BUFORD HWY NE STE B",
            "city": "DORAVILLE",
            "state": "GA",
            "postal_code": "303401117",
            "telephone_number": "770-686-0494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "EBONY",
        "credential": "HAIR LOSS SPECIALIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-22",
        "last_updated": "2021-08-22",
        "certification_date": "2021-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "",
            "desc": "Specialist, Prosthetics Case Management",
            "state": "GA",
            "license": "C0105979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Canzata Yvonne Walker
• Kemeng Wang, OD
• Xiao Wang
• Barry Werman
• Mark Hedge White, RPH., PD
• Yao Nan Wu, D.C., P.C.
• Fan Xu
• Yoshiro Yajima, D.C.
• Yw Professional and PFC Trading Alliance Inc

• Prosthetics Case Management in Doraville, GA
• Providers in Doraville, 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 Aug 22, 2021; 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.