TANN & CO. HAIR SALON


Address: 1158 Forest Pkwy Ste D, Lake City, GA 30260-3464
Phone: 6788870812

TANN & CO. HAIR SALON (NPI# 1023557790) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1023557790
Entity Type Organization
Organization Name TANN & CO. HAIR SALON
Other Organization Name TANN & CO HAIR SALON
Practice Address 1158 Forest Pkwy Ste D
Lake City
GA 30260-3464
Mailing Address 3283 Bells Landing Dr
Rex
GEORGIA 30273
UM
Practice Telephone 6788870812
Mailing Telephone 6784892784
Enumeration Date 2017-02-15
Last Update Date 2020-01-09
Authorized Official Name MS. TANDIKA J DRAKE (OWNER/ OPERATOR/ SPECIALIST)
Authorized Official Telephone 6788870812
Authorized Official Credential HAIR LOSS SPECIA
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1744P3200X Specialist
Specialization: Prosthetics Case Management
CO095149 GA Other Service Providers

Other Provider/Organization Names

Other Name Type Code
Tann & Co Hair Salon Doing Business As Name - Organization

Provider Secondary Practice Location

Address Telephone Number Fax Number
1389 Mount Zion Rd, Morrow, GA 302602357 6784892784

Office Location

Street Address 1158 FOREST PKWY STE D
City LAKE CITY
State GA
Zip Code 30260-3464

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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1578127627 Osara Dhevmi Malalasekara Student in an Organized Health Care Education/Training Program Amc Family Medicine Residency Program, 1000 Corporate Center Dr Suite 200, Morrow, GA 30260 2019-04-24
1902360860 Katrina Samuels Technician 5771 Trammell Rd. Morrow Ga, Morrow, GA 30260 2019-01-24
1679067870 Atl Sport Community/Behavioral Health 5376 Jonesboro Rd, Lake City, GA 30260 2018-06-20
1487184099 Mamie Rochell Jinks Driver 1541 Lakeland Cir, Lake City, GA 30260 2017-06-15
1598202079 Grace Misi Nteff Nurse Practitioner 1000 Clayton Village, Clayton State University, School of Nursing Community, Morrow, GA 30260 2017-01-23
1902357908 Morrow Family Dentistry, P.C. Clinic/Center 6319a Jonesboro Road, Morrow, GA 30260 2016-10-14
1043679418 Elite Rehab and Weightloss Chiropractor 1568 Southlake Pkwy Ste C, Morrow, GA 30260 2016-02-15
1659758985 Clayton State University Nurse Practitioner 5809 Northlake Drive, Bldg 1000, Morrow, GA 30260 2015-05-06
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Taxonomy Information

Taxonomy Code 1744P3200X
Grouping Other Service Providers
Classification Specialist
Specialization Prosthetics Case Management

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1851908016 Takenya Lacole Jordan Specialist 2231 Dawson Rd Ste Ij, Albany, GA 31707-3227 2020-09-30
1437765724 Shanea Buie Specialist 5977 Whitesville Rd Ste 20, Columbus, GA 31904-3618 2020-09-22
1114537313 Kimberly Melissa Sampson Specialist 2386 Clower St Ste 102, Snellville, GA 30078-6134 2020-08-04
1295351302 Marquisha General Specialist 1639 Lower Roswell Rd, Marietta, GA 30068-3343 2020-06-24
1053937805 Angela D Zanders Specialist 1600 E Forsyth St, Americus, GA 31709-3856 2020-06-17
1770107526 Natasha Monic Douglas Specialist 1630 Scenic Hwy N, Snellville, GA 30078-5647 2020-06-07
1518595479 Jacque Monae LLC Specialist 4955 Sugarloaf Pkwy Ste 104, Lawrenceville, GA 30044-8838 2020-03-27
1518592716 Naquiesha Peterson Specialist 3510 Ponderosa Ln, Powder Springs, GA 30127-2074 2020-03-08
1295368900 Doris Huff Hardeman Specialist 75 Rolling Ridge Dr, Covington, GA 30016-1823 2020-02-20
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Competitor

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City LAKE CITY
Zip Code 30260

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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