Crowned Goddess Luxury Virgin Hair

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

CROWNED GODDESS LUXURY VIRGIN HAIR

Doing business as

Crowned RX Hair

Practice address

3565 Martin Luther King Dr SW Ste 9
Atlanta, GA 30331-4016

Phone

(404) 699-0025

NPI assigned

Aug 8, 2022

Last updated

Aug 8, 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

Jacqueline Jewel Barnes

Title

Manager

Phone

(404) 699-0028

Specialties & licenses 1

Addresses

Other names 1

• Crowned RX Hair Doing business as

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1659916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659916800000",
    "number": "1780312884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3565 MARTIN LUTHER KING DR SW STE 9",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303314016",
            "telephone_number": "404-699-0025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3565 MARTIN LUTHER KING DR SW STE 9",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303314016",
            "telephone_number": "404-699-0025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROWNED GODDESS LUXURY VIRGIN HAIR",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-08",
        "last_updated": "2022-08-08",
        "certification_date": "2022-08-08",
        "status": "A",
        "authorized_official_last_name": "BARNES",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "JEWEL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "404-699-0028"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Fax",
            "affiliation": "N",
            "endpointDescription": "(866) 421-2152",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "fax",
            "address_1": "3565 Martin Luther King Dr SW Ste 9",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303314016",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Crowned RX Hair",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Prosthetic/Orthotic Supplier in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Prosthetic/Orthotic Supplier in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.