JACQUE MONAE LLC (NPI# 1518595479) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1518595479 |
Entity Type | Organization |
Organization Name | JACQUE MONAE LLC |
Other Organization Name | J.MONAE WIGS & HAIR LOSS CENTER |
Practice Address |
4955 Sugarloaf Pkwy Ste 104 Lawrenceville GA 30044-8838 |
Mailing Address |
3984 Church View Ln Suwanee GA 30024-8430 |
Practice Telephone | 4705993145 |
Mailing Telephone | 4705993145 |
Enumeration Date | 2020-03-27 |
Last Update Date | 2020-03-27 |
Authorized Official Name | JACQUE MCKENZIE (OWNER) |
Authorized Official Telephone | 4705993145 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1744P3200X |
Specialist Specialization: Prosthetics Case Management |
Other Service Providers |
Other Name | Type Code |
---|---|
J.Monae Wigs & Hair Loss Center | Doing Business As Name - Organization |
Street Address |
4955 SUGARLOAF PKWY STE 104 |
City | LAWRENCEVILLE |
State | GA |
Zip Code | 30044-8838 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396280913 | Jacque Kenol | Specialist | 4955 Sugarloaf Pkwy Ste 104, Lawrenceville, GA 30044-8838 | 2017-01-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740811892 | Berry and Mitchell Hands of Caring | Nurse's Aide | 1180 Market Square Lane, Lawrenceville, GA 30044 | 2020-01-28 |
1457995045 | Reagan Urgent Care | Clinic/Center | 2878 Five Forks Trickum Rd Ste 2a, Lawrenceville, GA 30044 | 2019-11-06 |
1194373621 | Kaseem Beck | Dentist | Gwinnett Family Dental Care, 3455 Lawrenceville Hwy, Lawrenceville, GA 30044 | 2019-08-28 |
1053965525 | Imani Anderson | Speech-Language Pathologist | 2775 Cruse Rd Suite 2002, Lawrenceville, GA 30044 | 2019-08-01 |
1598329625 | Zam Zam Family Clinic LLC | Clinic/Center | 965 Oakland Road, Bldg 3 Ste D & E, Lawrenceville, GA 30044 | 2019-04-24 |
1659858991 | Apex Eyecare | Optometrist | 3694 Club Drive Unit 101, Lawrenceville, GA 30044 | 2018-07-19 |
1538657549 | Georgia Comprehensive Family Clinic & Natural Health | Naturopath | 1065 Pleasant Hill Rd, Lawrenceville, GA 30044 | 2018-04-25 |
1316434095 | Children's Dentistry of Lithonia, LLC | Dentist | 4850 Sugarloaf Parkway, Ste 611, Lawrenceville, GA 30044 | 2018-04-18 |
1831619337 | Legacy Healthcare Services, Inc. | Occupational Therapist | 2899 Five Forks Trickum Rd Apt 204, Lawrenceville, GA 30044 | 2017-06-26 |
1326582859 | Ana Coronado | Social Worker | 965 Oakland Road Nw, Suite 3b, Lawrenceville, GA 30044 | 2016-12-19 |
Find all providers in zip 30044 |
Taxonomy Code | 1744P3200X |
Grouping | Other Service Providers |
Classification | Specialist |
Specialization | Prosthetics Case Management |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447898937 | Latrina Lorraine Hopkins | Specialist | 316 W Pike St Ste 202g, Lawrenceville, GA 30046-4878 | 2019-12-15 |
1477907962 | Winston Liburd | Specialist | 840 Georgian Hills Dr, Lawrenceville, GA 30045-8697 | 2016-04-20 |
1730582115 | Germaine Leroux | Specialist | 1090 Johns Landing Ct, Lawrenceville, GA 30045-7169 | 2014-09-30 |
1396280913 | Jacque Kenol | Specialist | 4955 Sugarloaf Pkwy Ste 104, Lawrenceville, GA 30044-8838 | 2017-01-05 |
1679942312 | Kema Hair Passion, Inc. | Specialist | 250 Langley Dr, Suite 1102, Lawrenceville, GA 30046-6940 | 2015-09-23 |
1245609148 | Delia Kema Diggs | Specialist | 250 Langley Dr, Suite 1102, Lawrenceville, GA 30046-6940 | 2015-09-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225638448 | Shariyfa Ferron | Specialist | 1864 Scenic Hwy N Ste 112, Snellville, GA 30078-2549 | 2020-10-27 |
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 |
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 |
1518599224 | Salon International LLC | Specialist | 1070 Mistletoe Rd, Decatur, GA 30033-4312 | 2020-02-10 |
Find all providers with the same taxonomy |
City | LAWRENCEVILLE |
Zip Code | 30044 |
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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.