KENNESAW LUXARY HAIR BOUTIQUE
NPI 1063981678
Specialist in Kennesaw, GA

Active since November 13, 2018
3555 SANDERLINGS POINTE NW, KENNESAW, GA 30152(678) 873-5853 Get Directions Write a Review

NPPES record last updated: November 13, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Specialist

About KENNESAW LUXARY HAIR BOUTIQUE

This page provides the complete NPI Profile along with additional information for Kennesaw Luxary Hair Boutique, a provider established in Kennesaw, Georgia operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1063981678 assigned on November 2018. The practitioner's primary taxonomy code is 174400000X. The provider is registered as an organization and their NPI record was last updated 8 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Susan Cook Griffin (Owner)

NPI
1063981678 Verify this NPI
Provider Name
KENNESAW LUXARY HAIR BOUTIQUE
Entity Type
Organization
Location Address
3555 SANDERLINGS POINTE NW KENNESAW, GA 30152
Location Phone
(678) 873-5853
Mailing Address
3555 SANDERLINGS POINTE NW KENNESAW, GA 30152
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-13-2018
Last Update Date
11-13-2018
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
Taxonomy Description
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SUSAN COOK GRIFFIN

Authorized Official Title
OWNER
Authorized Official Phone
(770) 427-7887

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063981678, enumerated as an "organization" on November 13, 2018.

The provider is located at 3555 SANDERLINGS POINTE NW KENNESAW, GA 30152 and the phone number is (678) 873-5853.

Specialist with taxonomy code 174400000X.