Hair Clinique Salon

Primary specialty

Prosthetics Case ManagementTaxonomy code 1744P3200X

License

CO100223 Issued in GA

Legal business name

HAIR CLINIQUE SALON

Practice address

3500 Gwinnett Place Dr
Suite 5
Duluth, GA 30096-4700

Phone

(770) 912-4661

NPI assigned

Sep 27, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Dionne Lindsay Molden

Title

Owner

Phone

(770) 912-4661

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1443312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443312000000",
    "number": "1760852206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 GWINNETT PLACE DR",
            "address_2": "SUITE 5",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300964700",
            "telephone_number": "770-912-4661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 GWINNETT PLACE DR",
            "address_2": "SUITE 5",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300964700",
            "telephone_number": "770-912-4661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAIR CLINIQUE SALON",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-27",
        "last_updated": "2015-09-27",
        "status": "A",
        "authorized_official_last_name": "MOLDEN",
        "authorized_official_first_name": "DIONNE",
        "authorized_official_middle_name": "LINDSAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-912-4661",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist, Prosthetics Case Management",
            "state": "GA",
            "license": "CO100223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marissa Habeshy
• Clifford David Hackett, PSYD
• Sinan Haddad, M.D.
• Regan Hadley, PT
• Hana M Hagiali
• Shideh Haji Seyed Javadi
• Amynah Haji
• Travonta Hale
• Mary G Hales, M.A.,L.C.A.S,. L.P.C
• Glenn M Hall Jr., MD

• Prosthetics Case Management in Duluth, GA
• Providers in Duluth, 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 Sep 27, 2015; 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.