Chan Mar Holistic Hair & Wellness

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

CHAN MAR HOLISTIC HAIR & WELLNESS

Practice address

4531 Olde Perimeter Way Ste 201
Dunwoody, GA 30346-4208

Phone

(470) 861-5798

NPI assigned

Oct 24, 2022

Last updated

Oct 24, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Chantay T MardnerNPI 1144978610

Title

Owner

Phone

(470) 861-5798

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Chantay T Mardner, SPECIALIST

  • Prosthetics Case Management
  • Dunwoody, GA
  • NPI 1144978610
  NPD Authorized official

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

{
    "created_epoch": "1666569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666569600000",
    "number": "1699492389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 ARBOR LAKE DR",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300160288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4531 OLDE PERIMETER WAY STE 201",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "303464208",
            "telephone_number": "470-861-5798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAN MAR HOLISTIC HAIR & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-24",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A",
        "authorized_official_last_name": "MARDNER",
        "authorized_official_first_name": "CHANTAY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "470-861-5798"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frances Carroll, PSYD
• Leroy Bryce Carter, PHARM. D.
• Eduard Castejon Rosales
• Kelly Castleberry, FCP
• Centered Body Chiropractic LLC
• Zilin Chang
• Chasing Hearts Home Care
• Brooke Ellen Cheng, BCBA
• Claire Cherry, MOT, OTR/L
• Morgan Leigh Cherry, MS, RDN, LD

• Durable Medical Equipment & Medical Supplies in Dunwoody, GA
• Providers in Dunwoody, GA by specialty
• Durable Medical Equipment & Medical Supplies in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; 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.