SECRET TRESSES WIGS NPI 1104692680

NPI Information

NPI: 1104692680
Provider Name: SECRET TRESSES WIGS
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
128 AQUINNAH DR
POOLER, GA
ZIP 31322
Phone: (912) 484-0283
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SECRET TRESSES WIGS is a durable medical equipment medical supplies in Pooler, 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. SECRET TRESSES WIGS NPI is 1104692680. The provider is registered as an organization entity type.

The provider's business location address is:

128 AQUINNAH DR
POOLER, GA
ZIP 31322-276
Phone: (912) 484-0283

The provider's authorized official is Stefini Jones .
The authorized official title is Owner and has the following contact phone number (912) 484-0283.

The enumeration date for this NPI number is 11/27/2023 and was last updated on 11/27/2023.

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
1	332B00000X	Durable Medical Equipment & Medical Supplies				Yes

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

NPI Synchronization or Removal

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