Provider Demographics
NPI:1487046553
Name:ALL ABOUT COLOUR HAIR & NAIL SALON
Entity type:Organization
Organization Name:ALL ABOUT COLOUR HAIR & NAIL SALON
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/COSMETOLOGIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARGIE
Authorized Official - Middle Name:PAMELA
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:CERTIFIED HAIR LOSS
Authorized Official - Phone:229-888-7773
Mailing Address - Street 1:2404 DAWSON RD
Mailing Address - Street 2:UNIT 1
Mailing Address - City:ALBANY
Mailing Address - State:GA
Mailing Address - Zip Code:31707-2398
Mailing Address - Country:US
Mailing Address - Phone:229-888-7773
Mailing Address - Fax:
Practice Address - Street 1:2404 DAWSON RD
Practice Address - Street 2:UNIT 1
Practice Address - City:ALBANY
Practice Address - State:GA
Practice Address - Zip Code:31707-2398
Practice Address - Country:US
Practice Address - Phone:229-888-7773
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ALL ABOUT COLOUR HAIR & NAIL SALON
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-02-26
Last Update Date:2015-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1744P3200XOther Service ProvidersSpecialistProsthetics Case ManagementGroup - Single Specialty