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CUSTOM HAIR EXTENSIONS & HAIR LOSS CENTER
NPI 1295101608
Specialist - Prosthetics Case Management in Tucker, GA

Active since August 19, 2015
3983 LAVISTA RD, SUITE 164, TUCKER, GA 30084(678) 754-3196 Get Directions Write a Review

NPPES record last updated: September 4, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Custom Hair Extensions & Hair Loss Center NPPES

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

CUSTOM HAIR EXTENSIONS & HAIR LOSS CENTER (NPI 1295101608) is a healthcare organization registered as a prosthetics case management in Tucker, Georgia and active in the NPI registry since August 2015. The organization lists Charla Jones, Certified Hair Loss Specialist, as its authorized official.

NPPES Registry Identity

NPI1295101608
Entity TypeOrganization
Primary Taxonomy1744P3200X
Legal Business NameCUSTOM HAIR EXTENSIONS & HAIR LOSS CENTER
Location Address3983 LAVISTA RD, SUITE 164Tucker, GA 30084-5153
Mailing Address1900 Glenn Club Dr, Apt 1312Stone Mountain, GA 30087-3499 · (678) 754-3196
Phone(678) 754-3196
Organization SubpartNo
Authorized OfficialCharla JonesCertified Hair Loss Specialist · (678) 754-3196
Enumeration DateAugust 19, 2015
Last NPPES UpdateSeptember 4, 2015
✔ NPI 1295101608 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist · Prosthetics Case ManagementOther Service Providers
Taxonomy Code1744P3200X
Definition
Under the Other Service Providers; Specialist the Prosthetics Case Management definition changed to: A case manager who provides services for patients with prosthetics.
3983 LAVISTA RD, Tucker, GA 30084
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ORTHODONTIC CARE OF GEORGIA
Dentist (Orthodontics and Dentofacial Orthopedics)
3983 LAVISTA RD, SUITE 192 THRU 196
TUCKER, GA 30084
Dekalb County (770) 939-3700
DR. YVONNE E. BECKFORD D.D.S.
Dentist (General Practice)
3983 LAVISTA RD, SUITE 181
TUCKER, GA 30084
Dekalb County (770) 939-9293
DR. RICHARD PINSKY D.D.S.
Dentist (General Practice)
3983 LAVISTA RD, SUITE 104
TUCKER, GA 30084
Dekalb County (770) 723-1111
BRENDA GORDON
Specialist (Prosthetics Case Management)
3983 LAVISTA RD, SUITE 164
TUCKER, GA 30084
Dekalb County (404) 861-0807
Y. E BECKFORD DDS PC
Dentist
3983 LAVISTA RD, #181
TUCKER, GA 30084
Dekalb County (770) 939-9293
EYES-RITE,INC
Technician/Technologist (Optician)
3983 LAVISTA RD, SUITE 125
TUCKER, GA 30084
Dekalb County (770) 938-9170

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 Custom Hair Extensions & Hair Loss Center's NPI number?

The NPI number for Custom Hair Extensions & Hair Loss Center is 1295101608. It was assigned to this organization in the NPPES registry on August 19, 2015.

Where is Custom Hair Extensions & Hair Loss Center located?

Custom Hair Extensions & Hair Loss Center is located at 3983 Lavista Rd Suite 164, Tucker, GA 30084. The listed phone number is (678) 754-3196.

What is Custom Hair Extensions & Hair Loss Center's specialty?

The primary specialty registered for this NPI is Specialist, specializing in Prosthetics Case Management, with taxonomy code 1744P3200X.

When was this NPI record last updated?

The NPPES record for Custom Hair Extensions & Hair Loss Center was last updated on September 4, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.