Anntioneek Boston

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

ANNTIONEEK BOSTON

Practice address

870 Crestmark Dr
Suite 200
Lithia Springs, GA 30122-2665

Phone

(678) 744-3440

NPI assigned

Feb 21, 2017

Organization subpart

No

Name

Ms. Anntioneek Marshelle Boston, CERTIFIEDNPI 1568972578

Title

Hair Loss Specialist

Phone

(678) 744-3440

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anntioneek Marshelle Boston

  • Prosthetic/Orthotic Supplier
  • Newnan, GA
  • NPI 1568972578
  NPD (past) Authorized official

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 21, 2017.

{
    "created_epoch": "1487635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487635200000",
    "number": "1982143129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 733",
            "city": "PALMETTO",
            "state": "GA",
            "postal_code": "302680733",
            "telephone_number": "678-744-3440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "870 CRESTMARK DR",
            "address_2": "SUITE 200",
            "city": "LITHIA SPRINGS",
            "state": "GA",
            "postal_code": "301222665",
            "telephone_number": "678-744-3440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNTIONEEK BOSTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-21",
        "last_updated": "2017-02-21",
        "status": "A",
        "authorized_official_last_name": "BOSTON",
        "authorized_official_first_name": "ANNTIONEEK",
        "authorized_official_middle_name": "MARSHELLE",
        "authorized_official_title_or_position": "HAIR LOSS SPECIALIST",
        "authorized_official_telephone_number": "678-744-3440",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CERTIFIED"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL INSURANCE COMPANIES",
            "identifier": "1744P3200X",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Lithia Springs, GA
• Prosthetic/Orthotic Supplier in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2017; 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.