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TAWANNA EASLEY COSMETOLOGIST
NPI 1073392130
Prosthetic/Orthotic Supplier in College Park, GA

Active since September 27, 2023
2900 LAJEAN DR, COLLEGE PARK, GA 30349(678) 437-6348 Get Directions Write a Review

NPPES record last updated: September 27, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tawanna Easley Cosmetologist NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TAWANNA EASLEY COSMETOLOGIST (NPI 1073392130) is an individual prosthetic/orthotic supplier provider in College Park, Georgia, licensed in Georgia (CO093582) and active in the NPI registry since September 2023.

NPPES Registry Identity

NPI1073392130
Entity TypeIndividualFemale
Primary Taxonomy335E00000X
Provider Legal NameTAWANNA EASLEYCredential: COSMETOLOGIST
Location Address2900 LAJEAN DRCollege Park, GA 30349-4148
Mailing Address2900 Lajean DrCollege Park, GA 30349-4148 · (678) 437-6348
Phone(678) 437-6348
Sole ProprietorYes
Enumeration DateSeptember 27, 2023
NPPES CertifiedSeptember 27, 2023
✔ NPI 1073392130 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyProsthetic/Orthotic SupplierSuppliers
Taxonomy Code335E00000X
License✔ Licensed in GA · CO093582
Definition
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.
Also ListedSpecialist · Prosthetics Case ManagementTaxonomy 1744P3200X · License CO093582 (GA)
2900 LAJEAN DR, College Park, GA 30349
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tawanna Easley's NPI number?

The NPI number for Tawanna Easley is 1073392130. It was assigned to this individual provider in the NPPES registry on September 27, 2023.

Where is Tawanna Easley located?

Tawanna Easley practices at 2900 Lajean Dr, College Park, GA 30349. The listed phone number is (678) 437-6348.

What is Tawanna Easley's specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

When was this NPI record last updated?

The NPPES record for Tawanna Easley was last updated on September 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.