Provider Type Icon

EJUAN HAIR REPLACEMENT CENTER NPI 1528587656


NPI Information

NPI: 1528587656
Provider Name: EJUAN HAIR REPLACEMENT CENTER

Doing Business As: EJUAN HAIR REPLACEMENT CENTER

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
5043 JIMMY LEE SMITH PKWY
HIRAM, GA
ZIP 30141
Phone: (404) 834-0396
Get Directions

EJUAN HAIR REPLACEMENT CENTER is a durable medical equipment medical supplies in Hiram, GA. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. EJUAN HAIR REPLACEMENT CENTER NPI is 1528587656. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Ejuan Hair Replacement Center.

The provider's business location address is:

5043 JIMMY LEE SMITH PKWY
HIRAM, GA
ZIP 30141-733
Phone: (404) 834-0396

The provider's authorized official is Ejuan Davis Smallwood .
The authorized official title is Hair Loss Specialist and has the following contact phone number (404) 834-0396.

The enumeration date for this NPI number is 9/9/2017 and was last updated on 9/14/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistCO097738GEORGIANo
21744P3200XSpecialistProsthetics Case ManagementGEORGIANo
3332B00000XDurable Medical Equipment & Medical SuppliesGEORGIAYes
4332BC3200XDurable Medical Equipment & Medical SuppliesCustomized EquipmentGEORGIANo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.