Organization · NPI-2

Atlanta Hair Dispensary

Prosthetic/Orthotic Supplier · Atlanta, GA

NPI number1235816182
StatusActive
Last updated in NPPESJul 3, 2023

Details

NPI
1235816182
Entity type
Organization (NPI-2)
Legal business name
Atlanta Hair Dispensary
Organization subpart
No
Enumeration date
Jul 3, 2023
Certification date
Jul 2, 2023
Last updated
Jul 3, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
335E00000X Prosthetic/Orthotic Supplier––Yes

Other names

  • Hottie Hair Company (Former Legal Business Name)

Practice location

1700 Northside Dr Nw Ste A7
Atlanta, GA 30318-2695

Phone 844-404-7584

Mailing address

2100 Defoors Ferry Rd Nw # 2052
Atlanta, GA 30318-2391

Phone 281-247-4177

Authorized official

Ashlyn Sadberry
Owner And Ceo
2812474177

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