ANNTIONEEK BOSTON (NPI# 1982143129) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982143129 |
| Entity Type | Organization |
| Organization Name | ANNTIONEEK BOSTON |
| Practice Address |
870 Crestmark Dr Suite 200 Lithia Springs GA 30122-2665 |
| Mailing Address |
Po Box 733 Palmetto GA 30268-0733 |
| Practice Telephone | 6787443440 |
| Mailing Telephone | 6787443440 |
| Enumeration Date | 2017-02-21 |
| Last Update Date | 2017-02-21 |
| Authorized Official Name | MS. ANNTIONEEK MARSHELLE BOSTON (HAIR LOSS SPECIALIST) |
| Authorized Official Telephone | 6787443440 |
| Authorized Official Credential | CERTIFIED |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | GA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | MEDICAL INSURANCE COMPANIES | 1744P3200X | 01 |
| Street Address |
870 CRESTMARK DR SUITE 200 |
| City | LITHIA SPRINGS |
| State | GA |
| Zip Code | 30122-2665 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366426660 | Kelvin L Brown | Specialist | 870 Crestmark Dr, Suite 103, Lithia Springs, GA 30122-2665 | 2005-12-01 |
| 1013312529 | Esther Onyirimba | Nurse Practitioner | 870 Crestmark Dr, Lithia Springs, GA 30122-2665 | 2014-10-27 |
| 1649670670 | Physicians Care Centers of Lithia Springs | Family Medicine | 870 Crestmark Dr, Suite 202, Lithia Springs, GA 30122-2665 | 2014-08-27 |
| 1902045909 | Seretta Arstacia Crutcher | Massage Therapist | 870 Crestmark Dr, Suite 103, Lithia Springs, GA 30122-2665 | 2009-02-13 |
| 1700032331 | Raj K. Bansal, M.d., P.C. | Specialist | 870 Crestmark Dr, Suite 201, Lithia Springs, GA 30122-2665 | 2008-08-14 |
| 1740454099 | West Cobb Medical Associates, LLC | Internal Medicine | 870 Crestmark Dr, Suite 202, Lithia Springs, GA 30122-2665 | 2008-04-17 |
| 1508037375 | Precision Surgery LLC | Specialist | 870 Crestmark Dr, Suite 103, Lithia Springs, GA 30122-2665 | 2008-03-19 |
| 1043386782 | Lisa Kimble | Dentist | 870 Crestmark Dr, Suite 100, Lithia Springs, GA 30122-2665 | 2006-11-27 |
| 1386617603 | Raj Kumar Bansal | Obstetrics & Gynecology | 870 Crestmark Dr, Ste 201, Lithia Springs, GA 30122 | 2006-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043798838 | Vivian Adu-aboagye | Registered Nurse | 7603 Forest Glen Way, Lithia Springs, GA 30122 | 2018-08-02 |
| 1588150510 | Vanessa Levet Hayes | Driver | 2100 Mesa Valleyway Apt1507, Lithiasprings, GA 30122 | 2018-07-02 |
| 1699279141 | Ariel Shell | Massage Therapist | 2060 Rolling Rock Ct, Lithia Springs, GA 30122 | 2018-03-20 |
| 1013323872 | First Choice Supportive Services, Incorporated | Personal Emergency Response Attendant | 3423 Summerlin Parkway, Lithia Springs, GA 30122 | 2014-07-01 |
| 1245659275 | Thumbs-up Transportation | Non-emergency Medical Transport (VAN) | 1517 Fenmore St., Lithia Springs, GA 30122 | 2014-04-07 |
| 1205262789 | Diana C Harris | Counselor | 561 Thornton Rd. Unit R, Lithia Springs, GA 30122 | 2013-09-17 |
| 1497910475 | Valissa Ann Dixon | Counselor | 6852 Florence Drive, Lithia Springs, GA 30122 | 2008-07-18 |
| 1548473267 | Lawrence Vision, Inc. | Ophthalmology | 939 Bob Arnold Blvd., Suite G, Lithia Springs, GA 30122 | 2007-05-08 |
| 1790903342 | Nahid Bahrami | Dentist | 524 Thornton Rd., Lithia Springs, GA 30122 | 2007-04-20 |
| 1831231828 | Harley Alan Belinky | Dentist | 1515 Westfork Dr., Lithia Springs, GA 30122 | 2007-02-13 |
| Find all providers in zip 30122 | ||||
| Taxonomy Code | 335E00000X |
| Grouping | Suppliers |
| Classification | Prosthetic/Orthotic Supplier |
| An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548860810 | Crowns of Love Inc | Prosthetic/Orthotic Supplier | 707 Park Ave Ne Apt 1382, Atlanta, GA 30326-3410 | 2020-10-27 |
| 1447860150 | Shadae Renee Medical Wigs | Prosthetic/Orthotic Supplier | 10719 Alpharetta Hwy # 1792, Roswell, GA 30076-2432 | 2020-08-06 |
| 1114535432 | Beauty Zone2 Medical Wigs | Prosthetic/Orthotic Supplier | 252 Keys Ferry St, Mcdonough, GA 30253-3342 | 2020-07-22 |
| 1619594389 | Legally Laced | Prosthetic/Orthotic Supplier | 1000 Corporate Pointe Ste 214, Warner Robins, GA 31088-3440 | 2020-06-29 |
| 1093332009 | Jazzy Wigs, Rx | Prosthetic/Orthotic Supplier | 59 Urey Emerson Dr, Richland, GA 31825-6636 | 2020-06-25 |
| 1174147938 | Salon Asya Mignon LLC | Prosthetic/Orthotic Supplier | 4290 Memorial Dr Ste B1, Decatur, GA 30032-1225 | 2020-06-07 |
| 1023630928 | Michelles Beauty Bar | Prosthetic/Orthotic Supplier | 3662 Druid Oaks Dr, Valdosta, GA 31605-6542 | 2020-05-13 |
| 1366063596 | Stylish Styles By Tee | Prosthetic/Orthotic Supplier | 6595 Roswell Rd Ste G1169, Atlanta, GA 30328-3152 | 2020-04-28 |
| 1518503432 | Regina Murff-love | Prosthetic/Orthotic Supplier | 341 Indus Ln, Lawrenceville, GA 30044-3835 | 2019-11-26 |
| 1417508995 | Priscilla Denise Brown | Prosthetic/Orthotic Supplier | 38200 3rd Ave, Fort Gordon, GA 30905 | 2019-09-25 |
| Find all providers with the same taxonomy | ||||
| City | LITHIA SPRINGS |
| Zip Code | 30122 |
Please comment or provide details below to improve the information on ANNTIONEEK BOSTON.
| 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.