Atlanta Hair Restoration

Primary specialty

Prosthetics Case ManagementTaxonomy code 1744P3200X

License

COO7118 Issued in GA

Legal business name

ATLANTA HAIR RESTORATION

Practice address

11785 Northfall LN Ste 509
Alpharetta, GA 30009-7967

Phone

(678) 478-4567

NPI assigned

Jun 6, 2014

Last updated

Jun 6, 2014By 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

Beverly Jeudi

Title

President

Phone

(678) 478-4567

Specialties & licenses 1

Addresses

Other names 1

• Atlanta Hair Restoration Former legal business name

Locations

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

{
    "created_epoch": "1402012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402012800000",
    "number": "1730592767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11785 NORTHFALL LN STE 509",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300097967",
            "telephone_number": "678-478-4567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11785 NORTHFALL LN STE 509",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300097967",
            "telephone_number": "678-478-4567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTA HAIR RESTORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-06",
        "last_updated": "2014-06-06",
        "status": "A",
        "authorized_official_last_name": "JEUDI",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "678-478-4567"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "",
            "desc": "Specialist, Prosthetics Case Management",
            "state": "GA",
            "license": "COO7118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Atlanta Hair Restoration",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Prosthetics Case Management in Alpharetta, GA
• Providers in Alpharetta, 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 6, 2014; 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.