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BELLA TRESS BY BEAU LLC NPI 1306514104


NPI Information

NPI: 1306514104
Provider Name: BELLA TRESS BY BEAU, LLC
Classification: Anaplastologist - 229N00000X
Entity Type: Organization
Address:
270 GLYNN ST N STE C
FAYETTEVILLE, GA
ZIP 30214
Phone: (404) 534-8768
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BELLA TRESS BY BEAU, LLC is an anaplastologist in Fayetteville, GA. The provider is an anaplastologist is a professional who creates prostheses for the face and body. Patients treated include those missing anatomy due to cancer, traumatic injury, or birth differences. Generally, there are no state licensing requirements for anaplastologists. Certification specific to anaplastology is provided through the Board for Certified Clinical Anaplastology (BCCA) with a credential title of Certified Clinical Anaplastologist (CCA). BELLA TRESS BY BEAU, LLC NPI is 1306514104. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

270 GLYNN ST N STE C
FAYETTEVILLE, GA
ZIP 30214-667
Phone: (404) 534-8768

The provider's authorized official is Adrian Powe .
The authorized official title is Owner and has the following contact phone number (404) 534-8768.

The enumeration date for this NPI number is 9/6/2021 and was last updated on 9/6/2021.


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
1229N00000XAnaplastologistYes

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

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