Premium Lace Front Wigs

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

PREMIUM LACE FRONT WIGS

Doing business as

Beauty Confidential

Practice address

3166 Cherokee St NW
Suite 102
Kennesaw, GA 30144-2883

Phone

(404) 474-3187

NPI assigned

Dec 17, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Juanita Barnes

Title

President

Phone

(404) 474-3187

Specialties & licenses 1

Addresses

Other names 1

• Beauty Confidential Doing business as

Locations

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

{
    "created_epoch": "1197849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197849600000",
    "number": "1750564472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3166 CHEROKEE ST NW",
            "address_2": "SUITE 102",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301442883",
            "telephone_number": "404-474-3187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3166 CHEROKEE ST NW",
            "address_2": "SUITE 102",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301442883",
            "telephone_number": "404-474-3187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIUM LACE FRONT WIGS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-17",
        "last_updated": "2007-12-17",
        "status": "A",
        "authorized_official_last_name": "BARNES",
        "authorized_official_first_name": "JUANITA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "404-474-3187",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beauty Confidential",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Customized Equipment (DME) in Kennesaw, GA
• Providers in Kennesaw, GA by specialty
• Customized Equipment (DME) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2007; 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.