MEDICARE: STYLESBYTEAIRAMONROE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332BC3200X	Customized Equipment (DME)

General Provider Information

NPI Number	:	1225913072
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STYLESBYTEAIRAMONROE LLC

Provider Business Mailing Address
First Line	:	6283 PARK SOUTH DR STE 114
Second Line	:
City	:	BESSEMER
State	:	AL
Zip	:	35022-5682
Country	:	US
Telephone Number	:	800-861-4558
Fax Number	:

Provider Business Practice Location Address
First Line	:	808 GREEN SPRINGS HWY STE 124
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35209-4952
Country	:	US
Telephone Number	:	800-861-4558
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	TEAIRE BRAXTON
Credential	:
Telephone Number	:	800-861-4558

Provider Enumeration Date	:	08/11/2025
Last Update Date	:	08/11/2025

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