Pamela Rene Luxurious Hair Salon

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

CASA048619 Issued in GA

Legal business name

PAMELA RENE LUXURIOUS HAIR SALON

Practice address

1151 Hammond Dr NE
Suite 200
Atlanta, GA 30346-1524

Phone

(404) 831-8521

NPI assigned

Mar 7, 2013

Organization subpart

No

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

Authorized official

Name

Ms. Pamela Rene Hall, MASTER COSMETOLOGIST

Title

Owner

Phone

(404) 831-8521

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1362614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362614400000",
    "number": "1699016279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1151 HAMMOND DR",
            "address_2": "SUITE 200",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30346",
            "telephone_number": "404-831-8521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 HAMMOND DR NE",
            "address_2": "SUITE 200",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303461524",
            "telephone_number": "404-831-8521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAMELA RENE LUXURIOUS HAIR SALON",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-07",
        "last_updated": "2013-03-07",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "RENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-831-8521",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MASTER COSMETOLOGIST"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "GA",
            "license": "CASA048619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Point of Service in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Point of Service in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.